I PROMISE FOUNDATION (NPI# 1144594003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144594003 |
| Entity Type | Organization |
| Organization Name | I PROMISE FOUNDATION |
| Practice Address |
3521 N University Ave Suite 225 Provo UT 84604-4418 |
| Mailing Address |
223 W Bulldog Blvd # 443 Provo UT 84604-2546 |
| Practice Telephone | 8014729780 |
| Practice Fax Number | 8014264615 |
| Mailing Telephone | 8014729780 |
| Mailing Fax Number | 8014264615 |
| Enumeration Date | 2012-02-23 |
| Last Update Date | 2012-02-23 |
| Authorized Official Name | KENDRA BERNAL (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8014729780 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC1900X |
Psychologist Specialization: Counseling |
19034 | UT | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
19034 | UT | Behavioral Health & Social Service Providers |
| N | 101YP1600X |
Counselor Specialization: Pastoral |
19034 | UT | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
19034 | UT | Behavioral Health & Social Service Providers |
| N | 101YS0200X |
Counselor Specialization: School |
19034 | UT | Behavioral Health & Social Service Providers |
| N | 102L00000X | Psychoanalyst | 19034 | UT | Behavioral Health & Social Service Providers |
| N | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
19034 | UT | Behavioral Health & Social Service Providers |
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
19034 | UT | Behavioral Health & Social Service Providers |
| N | 103TP0016X |
Psychologist Specialization: Prescribing (Medical) |
19034 | UT | Behavioral Health & Social Service Providers |
| N | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
19034 | UT | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
19034 | UT | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | 19034 | UT | Behavioral Health & Social Service Providers |
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
19034 | UT | Ambulatory Health Care Facilities |
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
19034 | UT | Ambulatory Health Care Facilities |
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
19034 | UT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | STATE OF UTAH - HEALTH & HUMAN SERVICES LICENSE | 19034 | 01 |
| Street Address |
3521 N UNIVERSITY AVE SUITE 225 |
| City | PROVO |
| State | UT |
| Zip Code | 84604-4418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346882107 | Abigail Belle Hardy | Student in an Organized Health Care Education/Training Program | 1190 900 E, Provo, UT 84604 | 2019-10-14 |
| 1386106698 | Sarah Roseman Hunt | Nurse Practitioner | 1055 N 500 W., Suite. 101, Bldg. C, Provo, UT 84604 | 2019-04-04 |
| 1255813325 | Hwigeum Jeong | Specialist/Technologist | Department of Exercise Sciences 106 Sfh Brigham Young, Provo, UT 84604 | 2018-09-05 |
| 1093203044 | Snowcap Smile Studio LLC | Dentist | 2230 N. University Pkwy Ste 8b, Provo, UT 84604 | 2018-04-25 |
| 1407359078 | Ihc Health Services Inc | Clinic/Center | 380 W Bulldog Blvd, Ste 403, Provo, UT 84604 | 2018-03-09 |
| 1902308455 | Afton Leuga | Nurse Practitioner | 395 W Bulldog Blvd., Suite 401, Provo, UT 84604 | 2018-03-01 |
| 1851807333 | Ihc Health Services Inc | Family Medicine | 380 W 1230 N, Ste 602, Provo, UT 84604 | 2017-12-20 |
| 1689180218 | Ihc Health Services Inc | Pediatrics | 395 W Bulldog Blvd Ste 703, Provo, UT 84604 | 2017-12-19 |
| 1396254165 | Nicolas Sorensen | Massage Therapist | 247 West 2230 North #201, Provo, UT 84604 | 2017-09-25 |
| 1437692241 | Cirque Lodge Inc | Substance Abuse Rehabilitation Facility | 3114 E Ida's Road, Sundance, UT 84604 | 2016-11-28 |
| Find all providers in zip 84604 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235751587 | Clara Sobral Hinckley | Counselor | 975 S 250 W Apt A, Provo, UT 84601-5991 | 2020-05-09 |
| 1295207231 | Trauma Center of Utah, LLC | Counselor | 4980 N University Ave Apt 12, Provo, UT 84604-6444 | 2018-12-31 |
| 1720433485 | Sean Lamb | Counselor | 231 S. 100 E., Provo, UT 84606 | 2016-05-02 |
| 1891036497 | Theta Management Corporation | Counselor | 524 W 300 N, Suite 102, Provo, UT 84601-2667 | 2013-03-06 |
| 1558651067 | Melissa Anne Mccreary | Counselor | 151 S.state St. University Ave., Ste 1400, Provo, UT 84606 | 2011-04-18 |
| 1295037521 | Gordon Scott Bruin | Counselor | 151 S University Ave Ste 3200, Provo, UT 84601-4427 | 2010-11-18 |
| 1326349192 | Alice J. Stryker | Counselor | 151 S Univ Ave, Provo, UT 84601-4427 | 2010-11-10 |
| 1184255275 | Joey Payne | Counselor | 1726 Buckley Ln, Provo, UT 84606-5031 | 2020-01-28 |
| 1386288462 | Ascent Family Therapy, Inc | Counselor | 4665 Mile High Dr, Provo, UT 84604-6311 | 2019-11-01 |
| 1679034516 | Stacey Perko | Counselor | 3507 N University Ave Ste 350, Provo, UT 84604-6602 | 2019-03-25 |
| Find all providers in PROVO | ||||
Please comment or provide details below to improve the information on I PROMISE FOUNDATION.
| 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.