Springville Family Counseling Services
Counselor, Mental Health in Springville, UT. Organization (NPI-2).
Details
- NPI
- 1760104798
- Entity type
- Organization (NPI-2)
- Legal business name
- Springville Family Counseling Services
- Organization subpart
- No
- Enumeration date
- Sep 15, 2022
- Certification date
- May 30, 2023
- Last updated
- May 30, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
| 103TC1900X | Psychologist, Counseling | – | – |
Other names
- Brookside Family Counseling (Doing Business As)
- Brookside Family Counseling Associates (Doing Business As)
Practice location
1220 N Main St Ste 11Springville, UT 84663-4016
Phone 801-400-5034 · Fax 801-373-4451
Mailing address
1220 N Main St Ste 11Springville, UT 84663-4016
Phone 801-400-5034 · Fax 801-373-4451
Other practice locations
Provo, UT 84601-2646
Phone 801-400-5034
Authorized official
Brent R. Hall
Director
8014005034
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 29 Mental Health Counselor providers in Springville · All 544 providers in Springville
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