Loren D Mitchell, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6383939-6004 Issued in UT

Practice address

4699 Silver Mountain Rd
Eagle Mountain, UT 84005-5897

Phone

(801) 310-7871

NPI assigned

Apr 13, 2009

Last updated

Apr 13, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Optum Behavioral Care of Ohio, Inc

  dba Sundance Behavioral Resources of Utah

  • Counseling Psychologist
  • Murray, UT
  • NPI 1942076633
  Medicare reassignment NPD
• Sundance Behavioral Resources

  • Case Management Agency
  • Murray, UT
  • NPI 1417345760
  NPD
• Optum Behavioral Care of Ohio, Inc.

  • Clinical Social Worker
  • Maryland Heights, MO
  • NPI 1528945623
  NPD

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

{
    "created_epoch": "1239580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239580800000",
    "number": "1932342516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4699 SILVER MOUNTAIN RD",
            "city": "EAGLE MOUNTAIN",
            "state": "UT",
            "postal_code": "840055897",
            "telephone_number": "801-310-7871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4699 SILVER MOUNTAIN RD",
            "city": "EAGLE MOUNTAIN",
            "state": "UT",
            "postal_code": "840055897",
            "telephone_number": "801-310-7871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "LOREN",
        "middle_name": "D",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-13",
        "last_updated": "2009-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "UT",
            "license": "6383939-6004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynetta Lavon Martindale, LMFT
• Michael McIlrath
• Candace Sue Meira, LCSW
• Jared Alan Miller, D.C.
• Zachary Miller
• Jonathan Mitton, DO
• Jared Moffett, CSW
• Heidi Irene Monson, CPM
• Madison Danielle Morgan, SLP
• Casey Mortensen, RD, IBCLC

• Professional Counselor in Eagle Mountain, UT
• Providers in Eagle Mountain, UT by specialty
• Professional Counselor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2009; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.