Theta Wellness Center - Mental Health Clinic in Provo, UT

Theta Wellness Center is a mental health clinic (Nurse Practitioner) in Provo, Utah. The current practice location for Theta Wellness Center is 524 W 300 N, Suite 102, Provo, Utah. For appointments, you can reach them via phone at (801) 852-1400. The mailing address for Theta Wellness Center is 524 W 300 N, Suite 102, Provo, Utah and phone number is (801) 852-1400.

Theta Wellness Center is licensed to practice in Utah (license number ) and its NPI number is 1891036497. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (801) 852-1400.

Contact Information

Theta Wellness Center
524 W 300 N
Suite 102
Provo
UT 84601-2667
(801) 852-1400
Not Available

Map and Direction


Mental Health Clinic Profile

Full NameTheta Wellness Center
SpecialityNurse Practitioner
Location524 W 300 N, Provo, Utah
Authorized Official Name and PositionKendra A. Bernal (OFFICE MANAGER)
Authorized Official Contact8018521400
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Theta Wellness Center
524 W 300 N
Suite 102
Provo
UT 84601-2667

Ph: (801) 852-1400
Theta Wellness Center
524 W 300 N
Suite 102
Provo
UT 84601-2667

Ph: (801) 852-1400

NPI Details:

NPI Number1891036497
Provider Enumeration Date03/06/2013
Last Update Date03/06/2013

Medical Identifiers

Medical identifiers for Theta Wellness Center such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891036497NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) (Utah)Secondary
101YM0800XCounselor - Mental Health (Utah)Secondary
103T00000XPsychologist (Utah)Secondary
103TA0400XPsychologist - Addiction (substance Use Disorder) (Utah)Secondary
1041C0700XSocial Worker - Clinical (Utah)Secondary
111N00000XChiropractor (Utah)Secondary
133NN1002XNutritionist - Nutrition, Education (Utah)Secondary
163WA0400XRegistered Nurse - Addiction (substance Use Disorder) (Utah)Secondary
163WC0400XRegistered Nurse - Case Management (Utah)Secondary
164W00000XLicensed Practical Nurse (Utah)Secondary
171M00000XCase Manager/care Coordinator (Utah)Secondary
174H00000XHealth Educator (Utah)Secondary
175L00000XHomeopath (Utah)Secondary
246RP1900XTechnician, Pathology - Phlebotomy (Utah)Secondary
363L00000XNurse Practitioner (Utah)Primary

Reviews and Comments

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.