| Central Utah Counseling Center | |
|
51 North Center Street Delta UT 84624 | |
| (435) 864-3073 | |
| (435) 864-3610 |
| Full Name | Central Utah Counseling Center |
|---|---|
| Speciality | Counselor |
| Location | 51 North Center Street, Delta, Utah |
| Authorized Official Name and Position | Farrel Marx (CFO) |
| Authorized Official Contact | 4352838400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Utah Counseling Center 152 N 400 W Ephraim UT 84627-5549 Ph: (435) 283-8400 | Central Utah Counseling Center 51 North Center Street Delta UT 84624 Ph: (435) 864-3073 |
| NPI Number | 1639185424 |
|---|---|
| Provider Enumeration Date | 07/31/2006 |
| Last Update Date | 12/18/2017 |
| Medicare PECOS PAC ID | 6305743618 |
|---|---|
| Medicare Enrollment ID | O20031215000998 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639185424 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 11188 (Utah) | Primary |
| Provider Name | Michael L Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497783633 PECOS PAC ID: 8628034295 Enrollment ID: I20041206000386 |
| Provider Name | Ezekiel W Burnett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952487068 PECOS PAC ID: 4688613409 Enrollment ID: I20050429000808 |
| Provider Name | Alan G Nell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306882972 PECOS PAC ID: 5698770618 Enrollment ID: I20060927000086 |
| Provider Name | Steven H Macdonald |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326083726 PECOS PAC ID: 2769579036 Enrollment ID: I20071102000379 |
| Provider Name | Nathan Jared Strait |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245338953 PECOS PAC ID: 5395834519 Enrollment ID: I20071211000155 |
| Provider Name | David L Martin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861651325 PECOS PAC ID: 6406042837 Enrollment ID: I20101126000010 |
| Provider Name | Lauren L Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154663334 PECOS PAC ID: 8426299710 Enrollment ID: I20130801000579 |
| Provider Name | David M Boel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780091793 PECOS PAC ID: 6709005952 Enrollment ID: I20140919001785 |
| Provider Name | Lea Gibson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205126653 PECOS PAC ID: 6204151269 Enrollment ID: I20150214000002 |
| Provider Name | Jennifer J Hobby |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710369889 PECOS PAC ID: 5496067084 Enrollment ID: I20150710000937 |
| Provider Name | Robert B Lloyd |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407101967 PECOS PAC ID: 6507188927 Enrollment ID: I20180201003113 |
| Provider Name | Jared L Kummer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033447412 PECOS PAC ID: 8527328905 Enrollment ID: I20180202000860 |
| Provider Name | Lindsay Kaye Manning |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760779193 PECOS PAC ID: 4385998129 Enrollment ID: I20181114003326 |
| Provider Name | Matthew J Edrington |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669716924 PECOS PAC ID: 3072924299 Enrollment ID: I20201119001308 |
| Provider Name | Kristofer S Lundeberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194003186 PECOS PAC ID: 5597161190 Enrollment ID: I20210907003579 |
| Provider Name | Ryan Thomas-eddins Olsen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902262553 PECOS PAC ID: 8527453604 Enrollment ID: I20220329000229 |
| Provider Name | Taija Mecham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255953642 PECOS PAC ID: 1759777337 Enrollment ID: I20220407000791 |
| Provider Name | Karin L Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891207817 PECOS PAC ID: 0042696320 Enrollment ID: I20221011000794 |
| Provider Name | Victor Tuaone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497034201 PECOS PAC ID: 4981070042 Enrollment ID: I20221014002279 |
Topaz Counseling Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 520 Topaz Blvd Ste 203d, Delta, UT 84624 Phone: 435-652-2114 Fax: 435-652-2132 | |
Unified Healing Solutions Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 95 White Sage Ave, Delta, UT 84624 Phone: 435-864-5151 |