Elevated Counseling and Wellness LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

ELEVATED COUNSELING AND WELLNESS LLC

Practice address

163 W 1600 S Ste 3
Saint George, UT 84770-6715

Phone

(435) 216-8839

NPI assigned

Jun 29, 2022

Last updated

Apr 30, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Justin K Stum, LMFTNPI 1457590671

Title

Owner

Phone

(435) 574-9193

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Justin K Stum, LMFT

  • Marriage & Family Therapist
  • St George, UT
  • NPI 1457590671
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1656460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714435200000",
    "number": "1851023667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 911763",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847911763",
            "telephone_number": "435-574-9193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 W 1600 S STE 3",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847706715",
            "telephone_number": "435-216-8839"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "60 E Center St",
            "address_purpose": "LOCATION",
            "city": "Logan",
            "state": "UT",
            "postal_code": "843214664",
            "country_code": "US",
            "telephone_number": "435-216-8839",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1031 S Bluff St",
            "address_purpose": "LOCATION",
            "city": "Saint George",
            "state": "UT",
            "postal_code": "847705206",
            "country_code": "US",
            "telephone_number": "435-574-9193",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ELEVATED COUNSELING AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-29",
        "last_updated": "2024-04-30",
        "certification_date": "2022-06-29",
        "status": "A",
        "authorized_official_last_name": "STUM",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-574-9193",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in St George, UT
• Providers in St George, UT by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.