| Trevor James, | |
|
375 N Main St Ste 202, Kaysville, UT 84037-1278 | |
| (801) 844-1615 | |
| Not Available |
| Full Name | Trevor James |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 4 Years |
| Location | 375 N Main St Ste 202, Kaysville, Utah |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396413167 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (Utah) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Numinus Wellness Ut Inc | 2163750688 | 50 |
| Great Salt Lake Wellness Inc | 4789985680 | 6 |
| Entity Name | Great Salt Lake Wellness Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790152940 PECOS PAC ID: 4789985680 Enrollment ID: O20151218000873 |
| Entity Name | Numinus Wellness UT Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265092282 PECOS PAC ID: 2163750688 Enrollment ID: O20190822000230 |
| Mailing Address | Practice Location Address |
|---|---|
| Trevor James, 375 N Main St Ste 202, Kaysville, UT 84037-1278 Ph: (801) 844-1615 | Trevor James, 375 N Main St Ste 202, Kaysville, UT 84037-1278 Ph: (801) 844-1615 |
Melanie Richardson, LCSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 1188 W Sportsplex Dr Ste 203, Kaysville, UT 84037 Phone: 801-719-7737 Fax: 888-887-9784 |
Carey Gold, Counselor Medicare: Not Enrolled in Medicare Practice Location: 498 N Kays Dr Ste 210, Kaysville, UT 84037 Phone: 801-738-4653 |
Mallorie Borup, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1188 W Sportsplex Dr Ste 203, Kaysville, UT 84037 Phone: 801-510-5049 |
Mrs. Marcia R Light, Counselor Medicare: Not Enrolled in Medicare Practice Location: 375 N Main St Ste 202, Kaysville, UT 84037 Phone: 801-872-4230 |
Mrs. Ann Fiero Pritt, PHD, LCSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 475 N 300 W, Suite 14, Kaysville, UT 84037 Phone: 801-529-7087 Fax: 801-544-6558 |
Mrs. Julie Ann White, L.C.S.W. Counselor Medicare: Not Enrolled in Medicare Practice Location: 475 N 300 W, Ste 14, Kaysville, UT 84037 Phone: 801-698-7059 Fax: 801-593-9445 |
Tricia Anne Page, CMHC Counselor Medicare: May Accept Medicare Assignments Practice Location: 280 N Kays Dr, # 200, Kaysville, UT 84037 Phone: 180-159-3677 |