Patricia J Nelson, LCMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6481952-6004 Issued in UT

Practice address

1354 E 3300 S Ste 100
Salt Lake City, UT 84106-3083

Phone

(801) 265-8000

Fax

(801) 265-8004

NPI assigned

Mar 14, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2007

Medicare assignment

May accept Medicare assignment

Group practices

Beacon Therapy of UtahGroup PAC ID 3577917178, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Beacon Therapy of Utah

  • Clinical Social Worker
  • Taylorsville, UT
  • NPI 1265149637

  Mental Health

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1520985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1851894968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1354 E 3300 S STE 100",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841063083",
            "telephone_number": "801-265-8000",
            "fax_number": "801-265-8004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1354 E 3300 S STE 100",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841063083",
            "telephone_number": "801-265-8000",
            "fax_number": "801-265-8004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "PATRICIA",
        "middle_name": "J",
        "credential": "LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-14",
        "last_updated": "2024-07-18",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "6481952-6004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACES",
            "identifier": "1003997701",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nasha Crowfoot Nelson
• Nicole Audrey Nelson, PHYSICIAN ASSISTANT
• Niesha R Nelson, NP-C
• Oaklee Nelson
• Patricia A Nelson, LSAC
• Raoul Devin Nelson
• Russell L Nelson, MD
• Ryan Sperry Nelson, LCSW
• Sally Hart Nelson, IBCLC
• Samuel Mark Nelson

• Mental Health Counselor in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Mental Health Counselor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.