| Bear River Health Dept Behavioral Health | |
|
655 E 1300 N Logan UT 84341 | |
| (435) 792-6500 | |
| (435) 792-6600 |
| Full Name | Bear River Health Dept Behavioral Health |
|---|---|
| Speciality | Counselor |
| Location | 655 E 1300 N, Logan, Utah |
| Authorized Official Name and Position | Mindy C Morehead (INSURANCE CREDENTIALING/BILLING SPE) |
| Authorized Official Contact | 4356952077 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bear River Health Dept Behavioral Health 655 E 1300 N Logan UT 84341 Ph: (435) 792-6500 | Bear River Health Dept Behavioral Health 655 E 1300 N Logan UT 84341 Ph: (435) 792-6500 |
| NPI Number | 1205046711 |
|---|---|
| Provider Enumeration Date | 05/23/2007 |
| Last Update Date | 06/24/2022 |
| Certification Date | 06/24/2022 |
| Medicare PECOS PAC ID | 3274633441 |
|---|---|
| Medicare Enrollment ID | O20070912000436 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205046711 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| Provider Name | Brock B Alder |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689753774 PECOS PAC ID: 2163432386 Enrollment ID: I20060502000396 |
| Provider Name | Jared Mark Bohman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316153562 PECOS PAC ID: 0345315099 Enrollment ID: I20080815000157 |
| Provider Name | Simon P Kayiki |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669810453 PECOS PAC ID: 1850608639 Enrollment ID: I20150910001621 |
| Provider Name | Regina Renee Dickinson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821477951 PECOS PAC ID: 0446687628 Enrollment ID: I20200227002692 |
| Provider Name | Joshua Todd Barson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851767941 PECOS PAC ID: 9133509177 Enrollment ID: I20220707002754 |
| Provider Name | Tanja Marianne Grover |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942762638 PECOS PAC ID: 9638547664 Enrollment ID: I20221123001974 |
| Provider Name | Dennis Mark Wheatley |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1336270933 PECOS PAC ID: 8022460591 Enrollment ID: I20240119002808 |
| Provider Name | Joel Albert Downs |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528426327 PECOS PAC ID: 9436593803 Enrollment ID: I20240214001604 |
Gary P Sazama Phd Apc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 150 E 200 N, Suite O, Logan, UT 84321 Phone: 435-752-8010 | |
Family Counseling Of Logan Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1034 W Rsi Dr, Unit 120, Logan, UT 84321 Phone: 435-363-7084 | |
Ora Counseling Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 115 Golf Course Rd Ste A, Logan, UT 84321 Phone: 801-885-4431 | |
Health, Healing And Wholeness, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 95 W 100 S Ste 386, Logan, UT 84321 Phone: 435-915-6915 Fax: 435-226-4484 | |
Utah State University Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6813 Old Main Hill, Logan, UT 84322 Phone: 435-797-3822 | |
Family Solutions Counseling Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 115 Golf Course Rd, Logan, UT 84321 Phone: 435-799-5035 Fax: 435-535-3782 | |
Monique Frazier, Ph.d., P.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 246 E 1260 N, Logan, UT 84341 Phone: 435-750-6300 Fax: 435-753-8995 |