Donnell Marie Johansen
Individual provider Active NPI Community Health Worker · Ephraim, UT
NPI 1962967232 · NPPES record last updated Sep 11, 2026
Key facts
- NPI
- 1962967232
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 152 N 400 W
Ephraim, UT 84627-5549 - Phone
- (435) 283-8400
- Fax
- (435) 283-8401
- NPI assigned
- Jan 31, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Utah Counseling Center | Mental Health | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Recreational Therapist Assistant | 226000000X | |||
| Community Health Worker | 172V00000X | UT | Yes |
Addresses
Primary practice location
152 N 400 W
Ephraim, UT 84627-5549
Mailing address
152 N 400 W
Ephraim, UT 84627-5549
Phone (435) 283-8400
Other providers in Ephraim, UT
- Brandy Christine Hundley
- Sariah Roberts Hunt
- Ihc Health Service Inc
- Ihc Health Services Inc
- Stephanie Irons
- Brian Charles Johanson
- Stacey Lynn Johanson
- Brett Alan Johnson
- Correen Johnson
- Jason W Jorgensen
All providers in Ephraim, UT · Community Health Worker in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.