ASCENT FAMILY THERAPY, INC (NPI# 1386288462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386288462 |
| Entity Type | Organization |
| Organization Name | ASCENT FAMILY THERAPY, INC |
| Practice Address |
4665 Mile High Dr Provo UT 84604-6311 |
| Mailing Address |
Po Box 902 Provo UT 84603-0902 |
| Practice Telephone | 4084314443 |
| Mailing Telephone | 4084314443 |
| Enumeration Date | 2019-11-01 |
| Last Update Date | 2020-10-10 |
| Authorized Official Name | MR. DANIEL BURGESS (CEO) |
| Authorized Official Telephone | 4084314443 |
| Authorized Official Credential | LMFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 101YP1600X |
Counselor Specialization: Pastoral |
Behavioral Health & Social Service Providers | ||
| N | 101YS0200X |
Counselor Specialization: School |
Behavioral Health & Social Service Providers | ||
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| Street Address |
4665 MILE HIGH DR |
| City | PROVO |
| State | UT |
| Zip Code | 84604-6311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285189514 | Daniel Allen Burgess | Marriage & Family Therapist | 4665 Mile High Dr, Provo, UT 84604-6311 | 2016-08-16 |
| 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 | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134426059 | Rafael Alexander Ibarra | Counselor | 750 N Freedom Blvd Ste 300, Provo, UT 84601-1690 | 2011-02-14 |
| 1871899609 | Sydney L Isle | Counselor | 379 N University Ave, Suite 101, Provo, UT 84601-2854 | 2011-01-26 |
| 1184871279 | Linda Jones | Counselor | 3210 N Canyon Rd Ste 206, Provo, UT 84604-6508 | 2008-08-20 |
| 1952595845 | Robyn Deegan Alexander | Counselor | 1990 Nevada Cir, Apartment 4, Provo, UT 84606-6587 | 2007-09-04 |
| 1457498271 | Shawn C Edgington | Counselor | 3651 N 100 E Ste 100, Provo, UT 84604-4598 | 2007-01-31 |
| 1215401310 | Ann Leilani Ngatai | Counselor | 1190 N 900 E, Provo, UT 84604-3536 | 2019-01-11 |
| 1003175183 | Susan Easton Black | Counselor | 1190 N 900 E, Provo, UT 84604-3536 | 2012-05-10 |
| 1801154224 | Jeane M Adams | Counselor | 750 N 200 W Ste 300, Provo, UT 84601-1690 | 2012-04-24 |
| 1568750578 | Richard Carlisle Tripp | Counselor | 1355 N University Ave Ste 200, Provo, UT 84604-2721 | 2011-07-12 |
| 1497054506 | Utah Psychological Associates, LLC | Counselor | 3325 N University Ave, Suite 300, Provo, UT 84604-4465 | 2011-03-16 |
| 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.