NPIMap

Organization Active NPI

Uintah Basin Tricounty Mental Health & Substance Abuse Local Authority

  • Case Management Agency
  • Vernal, UT
National Provider Identifier
1861883738
Registry record updated Feb 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
UINTAH BASIN TRICOUNTY MENTAL HEALTH & SUBSTANCE ABUSE LOCAL AUTHORITY
Practice address
1140 W 500 S Ste 9
Vernal, UT 84078-2912
Phone
(435) 725-6300
NPI assigned
Feb 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2015

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

Authorized official

Name
Tracy Womack
Title
Support Services Coordinator
Phone
(435) 725-6300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

1140 W 500 S Ste 9
Vernal, UT 84078-2912

Mailing address

285 W 800 S
Roosevelt, UT 84066-3707
Phone (435) 725-6300

National Provider Directory

National Provider Directory
Tax ID family
Northeastern Counseling Center5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1423699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423699200000",
    "number": "1861883738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 W 800 S",
            "city": "ROOSEVELT",
            "state": "UT",
            "postal_code": "840663707",
            "telephone_number": "435-725-6300",
            "fax_number": "435-725-6325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 W 500 S STE 9",
            "city": "VERNAL",
            "state": "UT",
            "postal_code": "840782912",
            "telephone_number": "435-725-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UINTAH BASIN TRICOUNTY MENTAL HEALTH & SUBSTANCE ABUSE LOCAL AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-12",
        "last_updated": "2015-02-12",
        "status": "A",
        "authorized_official_last_name": "WOMACK",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "SUPPORT SERVICES COORDINATOR",
        "authorized_official_telephone_number": "435-725-6300"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernal, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.