| Patricia J Nelson, LCMHC | |
|
1354 E 3300 S Ste 100, Salt Lake City, UT 84106-3083 | |
| (801) 265-8000 | |
| (801) 265-8004 |
| Full Name | Patricia J Nelson |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 1354 E 3300 S Ste 100, Salt Lake City, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851894968 | NPI | - | NPPES |
| 1003997701 | Other | UT | ACES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 6481952-6004 (Utah) | Primary |
| Entity Name | Beacon Therapy Of Utah |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265149637 PECOS PAC ID: 3577917178 Enrollment ID: O20231002000673 |
| Mailing Address | Practice Location Address |
|---|---|
| Patricia J Nelson, LCMHC 1354 E 3300 S Ste 100, Salt Lake City, UT 84106-3083 Ph: (801) 265-8000 | Patricia J Nelson, LCMHC 1354 E 3300 S Ste 100, Salt Lake City, UT 84106-3083 Ph: (801) 265-8000 |
Douglas Ray Stafford, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 411 Grant St, Salt Lake City, UT 84116 Phone: 801-359-8862 | |
Mr. Siope Lee Kinikini, CHMC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5800 Highland Dr, Salt Lake City, UT 84121 Phone: 801-272-9980 Fax: 801-272-9976 | |
Jesenia Sanchez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 607 E 200 S, Salt Lake City, UT 84102 Phone: 801-363-0203 Fax: 801-359-3455 | |
Steven Alec Jensen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5965 S 900 E, Salt Lake City, UT 84121 Phone: 801-263-7100 | |
Austin Giove, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5965 S 900 E, Salt Lake City, UT 84121 Phone: 801-263-7100 | |
Clarissa Weiss, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5965 S 900 E, Salt Lake City, UT 84121 Phone: 801-263-7100 | |
Katalina Takuvaka, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4460 S Highland Dr Ste 210, Salt Lake City, UT 84124 Phone: 888-949-4864 |