| Bear River Mental Health Services Inc | |
|
90 E 200 N Logan UT 84321-4034 | |
| (435) 752-0750 | |
| (435) 752-7433 |
| Full Name | Bear River Mental Health Services Inc |
|---|---|
| Speciality | Counselor |
| Location | 90 E 200 N, Logan, Utah |
| Authorized Official Name and Position | Mick Pattinson (CEO) |
| Authorized Official Contact | 4357520750 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bear River Mental Health Services Inc 90 E 200 N Logan UT 84321-4034 Ph: (435) 752-0750 | Bear River Mental Health Services Inc 90 E 200 N Logan UT 84321-4034 Ph: (435) 752-0750 |
| NPI Number | 1285736553 |
|---|---|
| Provider Enumeration Date | 09/05/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 0840102356 |
|---|---|
| Medicare Enrollment ID | O20031103000725 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285736553 | NPI | - | NPPES |
| 990177601002 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 11878 (Utah) | Primary |
| Provider Name | Curtis D Child |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144327099 PECOS PAC ID: 4688657968 Enrollment ID: I20040608001308 |
| Provider Name | Daniel Sorensen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932205911 PECOS PAC ID: 1052384765 Enrollment ID: I20040819000310 |
| Provider Name | Lance Eldon Bingham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821199985 PECOS PAC ID: 3971531054 Enrollment ID: I20050729000864 |
| Provider Name | Edward Hunter Redd |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578597647 PECOS PAC ID: 0749204816 Enrollment ID: I20060117000790 |
| Provider Name | Kristin Springer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386725174 PECOS PAC ID: 3577564442 Enrollment ID: I20070118000598 |
| Provider Name | Wesley D Spencer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750486809 PECOS PAC ID: 1355422460 Enrollment ID: I20080115000435 |
| Provider Name | Tim C Frost |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457458762 PECOS PAC ID: 2466583232 Enrollment ID: I20100623000879 |
| Provider Name | Graca De Oliveira Costa |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134326689 PECOS PAC ID: 9638364524 Enrollment ID: I20120104000281 |
| Provider Name | Joseph E Larkin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700189594 PECOS PAC ID: 8123289766 Enrollment ID: I20120409000341 |
| Provider Name | Cathy Mcmullen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376927947 PECOS PAC ID: 6406165398 Enrollment ID: I20151015000923 |
| Provider Name | Jessica R Keene |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881927838 PECOS PAC ID: 0446569347 Enrollment ID: I20151015001178 |
| Provider Name | Jo Lonna Lynn Bangerter Foy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033533377 PECOS PAC ID: 9739498148 Enrollment ID: I20151027000565 |
| Provider Name | Thomas R Roskos |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760816136 PECOS PAC ID: 5799095907 Enrollment ID: I20151029002930 |
| Provider Name | Jaclyn Andersen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982992798 PECOS PAC ID: 8628209152 Enrollment ID: I20160218000977 |
| Provider Name | Adam S Boman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205137916 PECOS PAC ID: 6507144185 Enrollment ID: I20161102001584 |
| Provider Name | Richard S Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407126519 PECOS PAC ID: 3375822216 Enrollment ID: I20161116001373 |
| Provider Name | Kendell Passey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801296025 PECOS PAC ID: 0042593477 Enrollment ID: I20170209002006 |
| Provider Name | Mark B Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194252619 PECOS PAC ID: 6709159668 Enrollment ID: I20170829002604 |
| Provider Name | Ian R Hancock |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831572437 PECOS PAC ID: 5193091650 Enrollment ID: I20171027001351 |
| Provider Name | Crystal M Gregory |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003216458 PECOS PAC ID: 9335483908 Enrollment ID: I20181208000102 |
| Provider Name | Christopher A Wade |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558657262 PECOS PAC ID: 1355686064 Enrollment ID: I20181228001352 |
| Provider Name | Shiree M Ryan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417352386 PECOS PAC ID: 6507104130 Enrollment ID: I20190206002582 |
| Provider Name | John J Ure |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770884272 PECOS PAC ID: 4981946886 Enrollment ID: I20190424002612 |
| Provider Name | Kendall G Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194100701 PECOS PAC ID: 9032427414 Enrollment ID: I20201030002348 |
| Provider Name | Stephanie J Micheli |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962914408 PECOS PAC ID: 5193137677 Enrollment ID: I20201208001802 |
| Provider Name | Justin M Woodruff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063020949 PECOS PAC ID: 3072926401 Enrollment ID: I20210104001649 |
| Provider Name | Jarod D Huffaker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912428194 PECOS PAC ID: 0941615439 Enrollment ID: I20210216000191 |
| Provider Name | Daniela Aguirre |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689073926 PECOS PAC ID: 9234546623 Enrollment ID: I20210331002665 |
| Provider Name | Carrie L Thomas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962903377 PECOS PAC ID: 9335541002 Enrollment ID: I20210719000510 |
| Provider Name | Tiffany Burnhope |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104307495 PECOS PAC ID: 1254739360 Enrollment ID: I20211004002353 |
| Provider Name | Evelyn P Tovar Menjivar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750806907 PECOS PAC ID: 9234587726 Enrollment ID: I20240301002815 |
| Provider Name | Wade G Poulsen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427355650 PECOS PAC ID: 8022458967 Enrollment ID: I20240425003020 |
| Provider Name | Joseph S Maynard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861784084 PECOS PAC ID: 8729428354 Enrollment ID: I20240430003351 |
| Provider Name | Tim S Mitchell |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1275629982 PECOS PAC ID: 5597106401 Enrollment ID: I20240509001963 |
| Provider Name | Benjamin V Moore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710208848 PECOS PAC ID: 8921241324 Enrollment ID: I20240513002602 |
| Provider Name | Isaac L Wanberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467759670 PECOS PAC ID: 0648610691 Enrollment ID: I20240605000004 |
| Provider Name | Brian Wigington |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124420567 PECOS PAC ID: 5496297541 Enrollment ID: I20240605000860 |
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 |