BRETT MORTENSEN (NPI# 1053921536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053921536 |
| Entity Type | Individual |
| Full Name | BRETT MORTENSEN |
| Credential | CMHC |
| Practice Address |
1300 E Center St Provo UT 84606-3554 |
| Practice Telephone | 8013444400 |
| Practice Fax Number | 8013444225 |
| Mailing Telephone | 8013444400 |
| Mailing Fax Number | 8013444225 |
| Enumeration Date | 2020-08-09 |
| Last Update Date | 2020-08-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
6377316-6004 | UT | Behavioral Health & Social Service Providers |
| Street Address |
1300 E CENTER ST |
| City | PROVO |
| State | UT |
| Zip Code | 84606-3554 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811978620 | State of Utah | Psychiatric Hospital | 1300 E Center St, Provo, UT 84606-3554 | 2005-11-09 |
| 1265051262 | Alrae Snyder | Clinical Nurse Specialist | 1300 E Center St, Provo, UT 84606-3554 | 2020-04-10 |
| 1538710207 | Benjamin Roos | Psychologist | 1300 E Center St, Provo, UT 84606-3554 | 2019-09-24 |
| 1528611092 | Keshia Bowers | Social Worker | 1300 E Center St, Provo, UT 84606-3554 | 2019-07-23 |
| 1235782756 | Allison Mckay Shiffler | Social Worker | 1300 E Center St, Provo, UT 84606-3554 | 2019-07-23 |
| 1386297893 | Delanie Doyle | Social Worker | 1300 E Center St, Provo, UT 84606-3554 | 2019-07-23 |
| 1861045718 | Gregory Porter | Social Worker | 1300 E Center St, Provo, UT 84606-3554 | 2019-07-19 |
| 1366095218 | Courtney Archer | Social Worker | 1300 E Center St, Provo, UT 84606-3554 | 2019-07-19 |
| 1396398244 | Lindsay Gonzalez | Social Worker | 1300 E Center St, Provo, UT 84606-3554 | 2019-07-19 |
| 1528611472 | Kelsey Fraser | Social Worker | 1300 E Center St, Provo, UT 84606-3554 | 2019-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053935551 | Olivia Stiles | Specialist/Technologist | 200 E 515 N, Provo, UT 84606 | 2020-06-01 |
| 1417439076 | Quin Spencer Volpe | Counselor | 1035 E 560 N, Provo, UT 84606 | 2018-08-30 |
| 1700365434 | Hyunwook Lee | Specialist/Technologist | 1369 S 1500 E, Provo, UT 84606 | 2018-08-13 |
| 1598268930 | Victor Bert Arthur Moxley | Specialist | 290 N 300 E, Provo, UT 84606 | 2018-03-12 |
| 1184132623 | Academy Dental LLC | Advanced Practice Dental Therapist | 488 N 100 E St., Provo, UT 84606 | 2018-01-18 |
| 1720433485 | Sean Lamb | Counselor | 231 S. 100 E., Provo, UT 84606 | 2016-05-02 |
| 1508236795 | Forever Young Dentistry Pllc | Clinic/Center | 2335 S. State Street, Ste #200, Provo, UT 84606 | 2015-09-30 |
| 1558766014 | Nancy Huber | Physician Assistant | Mountainland Community Health Center, 529 South State Street, Provo, UT 84606 | 2014-10-27 |
| 1356778377 | Myrna Suzanne Gillis | Marriage & Family Therapist | 1726 Buckley Drive, Provo, UT 84606 | 2013-10-04 |
| 1558651067 | Melissa Anne Mccreary | Counselor | 151 S.state St. University Ave., Ste 1400, Provo, UT 84606 | 2011-04-18 |
| Find all providers in zip 84606 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245792167 | Adrienne Lowden Dejager | Counselor | 314 S 1350 E, Provo, UT 84606-5318 | 2019-04-01 |
| 1699255315 | Michele Mcconkie Erekson | Counselor | 2545 N Canyon Rd Ste 112, Provo, UT 84604-5972 | 2018-08-21 |
| 1861980385 | Cory Bushman | Counselor | 455 N University Ave Ste 210, Provo, UT 84601-2868 | 2018-04-30 |
| 1013425594 | Tamara S Hill | Counselor | 3325 N University Ave Ste 275, Provo, UT 84604-7415 | 2018-01-18 |
| 1992150478 | Tristin Roney | Counselor | 1942 N 3100 W, Provo, UT 84601-5941 | 2016-05-03 |
| 1659760411 | Affinity Guidance Services, Inc | Counselor | 1971 N State St, Provo, UT 84604-1012 | 2015-01-16 |
| 1326460445 | Daniel Solen | Counselor | 2230 N University Pkwy Ste 11d, Provo, UT 84604-1583 | 2014-01-08 |
| 1235550526 | Richard James Bryan | Counselor | 567 N 2620 W, Provo, UT 84601-1187 | 2014-01-03 |
| 1508287947 | Ann Weight | Counselor | 4455 Wimbledon Dr, Provo, UT 84604-5394 | 2014-01-03 |
| 1508118456 | Linda Marie Taylor | Counselor | 719 N 1890 W Ste 38b, Provo, UT 84601-1333 | 2012-10-02 |
| Find all providers in PROVO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.