UINTAH BASIN TRI-COUNTY MENTAL HEALTH AND SUBSTANCE ABUSE LOCAL AUTHOR (NPI# 1548348873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548348873 |
| Entity Type | Organization |
| Organization Name | UINTAH BASIN TRI-COUNTY MENTAL HEALTH AND SUBSTANCE ABUSE LOCAL AUTHOR |
| Other Organization Name | NORTHEASTERN COUNSELING CENTER |
| Practice Address |
1140 W 500 S Vernal UT 84078-2914 |
| Mailing Address |
Po Box 1908 Vernal UT 84078-5908 |
| Practice Telephone | 4357256300 |
| Practice Fax Number | 4357256325 |
| Mailing Telephone | 4357256300 |
| Mailing Fax Number | 4357256325 |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2018-08-17 |
| Authorized Official Name | KYLE SNOW (CFO) |
| Authorized Official Telephone | 4357256300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| Northeastern Counseling Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891873121 | Uintah Basin Tri-county Mental Health and Substance Abuse Local Author | Community/Behavioral Health | 1140 W 500 S, Vernal, UT 84078-2914 | 2006-11-02 |
| Street Address |
1140 W 500 S |
| City | VERNAL |
| State | UT |
| Zip Code | 84078-2914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033179049 | Keith H Evans | General Practice | 1140 W 500 S, Vernal, UT 84078-2914 | 2006-03-24 |
| 1891157301 | Shellie Anderson | Counselor | 1140 W 500 S, Vernal, UT 84078-2914 | 2016-03-23 |
| 1225429103 | Stephanie Lee Odriscoll | Case Manager/Care Coordinator | 1140 W 500 S, Vernal, UT 84078-2914 | 2015-02-12 |
| 1740698174 | Melissa Slaugh | Registered Nurse | 1140 W 500 S, Vernal, UT 84078-2914 | 2014-07-29 |
| 1932464690 | Sheila Wallace | Case Manager/Care Coordinator | 1140 W 500 S, Vernal, UT 84078-2914 | 2012-07-09 |
| 1992098602 | Catherine Patricia Jurado | Counselor | 1140 W 500 S, Vernal, UT 84078-2914 | 2011-05-27 |
| 1033416797 | Frances Barnett Lewis | Counselor | 1140 W 500 S, Vernal, UT 84078-2914 | 2011-02-16 |
| 1093019960 | Amy Lynne Wilson | Case Manager/Care Coordinator | 1140 W 500 S, Vernal, UT 84078-2914 | 2011-01-06 |
| 1467691170 | Donita J Fulton | Registered Nurse | 1140 W 500 S, Vernal, UT 84078-2914 | 2009-02-19 |
| 1033358650 | Brandie A Mitchell | Licensed Practical Nurse | 1140 W 500 S, Vernal, UT 84078-2914 | 2009-02-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205479748 | Wade Oliver Moulton | Pharmacist | 1080 W Hwy 40, Vernal, UT 84078 | 2019-10-28 |
| 1841610383 | Allegiance Addiction Recovery Center | Substance Abuse Rehabilitation Facility | 4430 N Little Valley Road, Vernal, UT 84078 | 2014-04-23 |
| 1689008773 | Ashley Valley Physician Practice, LLC | Occupational Therapist | 1680 W Highway 40 Ste 202, Vernal, UT 84078 | 2013-08-26 |
| 1528371796 | Terry L Smith | Counselor | 1140 W 500 S #9, Vernal, UT 84078 | 2010-07-16 |
| 1619280880 | Cicile M Rios | Counselor | 1140 W 800 S #9, Vernal, UT 84078 | 2010-07-16 |
| 1265754840 | Marjorie Elaine Gardner | Licensed Practical Nurse | 133 S 500 East, Vernal, UT 84078 | 2010-02-23 |
| 1528205853 | Robert Kirkham Jolley | Dentist | 40 West 100 North, Vernal, UT 84078 | 2009-01-08 |
| 1740482025 | Ashley Valley Physician Practice, LLC | Family Medicine | 175 N. 100 W., Suite 202, Vernal, UT 84078 | 2007-05-31 |
| 1265646459 | Ashley Valley Medical Center | Pharmacy | 151 W. 200 N., Vernal, UT 84078 | 2007-05-09 |
| 1629122692 | Brian Prentice Callahan | Dentist | 779 West Us Highway 40, Vernal, UT 84078 | 2007-01-23 |
| Find all providers in zip 84078 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619228327 | Ashley Valley Wilderness Inc | Community/Behavioral Health | 247 S Vernal Ave, Vernal, UT 84078-3233 | 2012-09-21 |
| 1356656821 | Ashley Family Services, Pllc | Community/Behavioral Health | 38 E 100 N Ste B, Vernal, UT 84078-2122 | 2010-08-09 |
| 1891873121 | Uintah Basin Tri-county Mental Health and Substance Abuse Local Author | Community/Behavioral Health | 1140 W 500 S, Vernal, UT 84078-2914 | 2006-11-02 |
| 1063595015 | Tri-county Mental Health and Substance Abuse Local Authority | Community/Behavioral Health | 1140 W 500 S, Vernal, UT 84078-2914 | 2006-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518571306 | Alliance Counseling Utah | Community/Behavioral Health | 47 W 9000 S Ste 1, Sandy, UT 84070-2043 | 2020-08-31 |
| 1609489939 | The Arise Society | Community/Behavioral Health | 784 S River Ridge Ln, Spanish Fork, UT 84660-4712 | 2020-08-26 |
| 1639789464 | Enduring Connections Counseling Services LLC | Community/Behavioral Health | 4659 S Highland Dr, Salt Lake City, UT 84117-5137 | 2020-08-06 |
| 1841809324 | Mind and Matter Therapy | Community/Behavioral Health | 75 E Fort Union Blvd # 116, Midvale, UT 84047-1531 | 2020-07-30 |
| 1952927410 | Harmony Therapy Center LLC | Community/Behavioral Health | 752 E 1300 N, Pleasant Grove, UT 84062-1995 | 2020-06-22 |
| 1033733001 | Jessica Jo Pllc | Community/Behavioral Health | 3527 S 1200 E, Salt Lake City, UT 84106-2425 | 2020-06-04 |
| 1407479538 | Onwardlife | Community/Behavioral Health | 2998 E 9690 S, Sandy, UT 84092-3542 | 2020-05-23 |
| 1467071407 | Cancer Wellness House, Inc. | Community/Behavioral Health | 59 S 1100 E, Salt Lake City, UT 84102-1508 | 2020-04-09 |
| 1346875382 | Recovery Innovations Inc | Community/Behavioral Health | 2411 S 1070 W Ste A, West Valley City, UT 84119-1569 | 2020-03-10 |
| 1144854944 | Brenna M. Schaffer | Community/Behavioral Health | 950 E 600 S, Heber City, UT 84032-4469 | 2020-03-02 |
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Please comment or provide details below to improve the information on UINTAH BASIN TRI-COUNTY MENTAL HEALTH AND SUBSTANCE ABUSE LOCAL AUTHOR.
| 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.