| Numinus Wellness UT Inc | |
|
672 W 400 S Ste 201 Springville UT 84663-3170 | |
| (801) 369-8989 | |
| (801) 704-9741 |
| Full Name | Numinus Wellness UT Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 672 W 400 S Ste 201, Springville, Utah |
| Authorized Official Name and Position | Reid Justin Robison (CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 8013698989 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Numinus Wellness UT Inc 672 W 400 S Ste 201 Springville UT 84663-3170 Ph: (801) 369-8989 | Numinus Wellness UT Inc 672 W 400 S Ste 201 Springville UT 84663-3170 Ph: (801) 369-8989 |
| NPI Number | 1265092282 |
|---|---|
| Provider Enumeration Date | 06/20/2019 |
| Last Update Date | 02/02/2026 |
| Certification Date | 02/02/2026 |
| Medicare PECOS PAC ID | 2163750688 |
|---|---|
| Medicare Enrollment ID | O20190822000230 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265092282 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (NU) | Primary |
| Provider Name | James M Marcum |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013938588 PECOS PAC ID: 7517850183 Enrollment ID: I20040206000183 |
| Provider Name | Brett W Sharp |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750301529 PECOS PAC ID: 3072582303 Enrollment ID: I20041001000958 |
| Provider Name | Carol S Tanner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386857829 PECOS PAC ID: 9638115108 Enrollment ID: I20050706000751 |
| Provider Name | Kirt Erik Cundick |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629395181 PECOS PAC ID: 2062660764 Enrollment ID: I20120921000721 |
| Provider Name | Emily Y Bullock |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760670962 PECOS PAC ID: 3375777840 Enrollment ID: I20131016001404 |
| Provider Name | Derick W Moody |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235551409 PECOS PAC ID: 3779713961 Enrollment ID: I20140310000718 |
| Provider Name | Reynie T Sandoval |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295041614 PECOS PAC ID: 7810110426 Enrollment ID: I20140529002192 |
| Provider Name | Amy Vanderherp |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326349051 PECOS PAC ID: 5496979577 Enrollment ID: I20140611000413 |
| Provider Name | Lorrie M Belnap |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093006348 PECOS PAC ID: 8820306228 Enrollment ID: I20151005002664 |
| Provider Name | Steinia Lewis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295187615 PECOS PAC ID: 7416236815 Enrollment ID: I20161107002064 |
| Provider Name | Meadow Summers |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821546383 PECOS PAC ID: 7416236039 Enrollment ID: I20161122000627 |
| Provider Name | Shadrick W Tillotson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528514809 PECOS PAC ID: 6709168073 Enrollment ID: I20170120001879 |
| Provider Name | Gary Webb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063962140 PECOS PAC ID: 7214209501 Enrollment ID: I20170822000592 |
| Provider Name | Faustin Chad Vigil |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821502469 PECOS PAC ID: 6709144231 Enrollment ID: I20171211001454 |
| Provider Name | Dallas Bowles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588154124 PECOS PAC ID: 4688914369 Enrollment ID: I20190315000331 |
| Provider Name | Brian L Gashler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144705583 PECOS PAC ID: 5294075271 Enrollment ID: I20190329001326 |
| Provider Name | Nathaniel M Barusch |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548648520 PECOS PAC ID: 3375879653 Enrollment ID: I20190724001587 |
| Provider Name | Landon Robert Moyers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811554751 PECOS PAC ID: 9032445978 Enrollment ID: I20190730002323 |
| Provider Name | Joshua Reed Bentley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447805809 PECOS PAC ID: 2062743065 Enrollment ID: I20191004002344 |
| Provider Name | Michael Christensen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790330454 PECOS PAC ID: 1052744414 Enrollment ID: I20191126000946 |
| Provider Name | Leah Toshina Young |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194290551 PECOS PAC ID: 5092149534 Enrollment ID: I20191217000157 |
| Provider Name | Benjamin Clark Saxey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225482201 PECOS PAC ID: 6901188630 Enrollment ID: I20200630000432 |
| Provider Name | Karl Jo Tucker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932693587 PECOS PAC ID: 8022431816 Enrollment ID: I20200713002055 |
| Provider Name | Robert G Mcnutt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447817226 PECOS PAC ID: 9830514652 Enrollment ID: I20200810003302 |
| Provider Name | Amos Richard Grim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013408806 PECOS PAC ID: 3072843473 Enrollment ID: I20201223000942 |
| Provider Name | Siqin Luo Simmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578128443 PECOS PAC ID: 3870908213 Enrollment ID: I20210217003047 |
| Provider Name | Elizabeth Baker Mccoy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174134860 PECOS PAC ID: 7618382581 Enrollment ID: I20210226002590 |
| Provider Name | Amanda Jackson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245755800 PECOS PAC ID: 3678989506 Enrollment ID: I20210301002222 |
| Provider Name | Paul Douglas Thielking |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124036595 PECOS PAC ID: 7416848007 Enrollment ID: I20210428002407 |
| Provider Name | Michael Stephen Miles |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174175426 PECOS PAC ID: 1850711821 Enrollment ID: I20210712000376 |
| Provider Name | Colin Andrew Riley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497324370 PECOS PAC ID: 4385046028 Enrollment ID: I20210716002024 |
| Provider Name | Scott Salomone |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386178481 PECOS PAC ID: 9931454253 Enrollment ID: I20210818000456 |
| Provider Name | Lindsay Helm |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093223315 PECOS PAC ID: 6608138086 Enrollment ID: I20210820000553 |
| Provider Name | Deven Richard Jennings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699357913 PECOS PAC ID: 8224434774 Enrollment ID: I20210908002162 |
| Provider Name | Christina Thomas |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588216840 PECOS PAC ID: 3072933183 Enrollment ID: I20210914002622 |
| Provider Name | Michael Ah You |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396412698 PECOS PAC ID: 1456758028 Enrollment ID: I20210923003006 |
| Provider Name | Gholson James Lyon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811910508 PECOS PAC ID: 9638473416 Enrollment ID: I20211216000391 |
| Provider Name | Christopher Sorensen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912228230 PECOS PAC ID: 4587980784 Enrollment ID: I20220307001599 |
| Provider Name | Maurice Fiedel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265035257 PECOS PAC ID: 8022343763 Enrollment ID: I20220308000696 |
| Provider Name | Courtney Claire Marden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265000756 PECOS PAC ID: 7214321280 Enrollment ID: I20220309002101 |
| Provider Name | Margaret E Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073698692 PECOS PAC ID: 3971784877 Enrollment ID: I20220422000576 |
| Provider Name | Ruby S Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962070615 PECOS PAC ID: 2769879600 Enrollment ID: I20220425001171 |
| Provider Name | Ronnie B Isaacson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275007965 PECOS PAC ID: 3577803600 Enrollment ID: I20220609002733 |
| Provider Name | Scott Osabuohien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376281477 PECOS PAC ID: 6305225715 Enrollment ID: I20220615001102 |
| Provider Name | Raymond Antonio Archuleta |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366173171 PECOS PAC ID: 1759760333 Enrollment ID: I20220628002803 |
| Provider Name | Hannah Lindsey Banks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851021604 PECOS PAC ID: 7810378114 Enrollment ID: I20220718003221 |
| Provider Name | Angeleah Marie Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720719073 PECOS PAC ID: 2264814086 Enrollment ID: I20220726003122 |
| Provider Name | Sherrie Irvine Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932773678 PECOS PAC ID: 8224404926 Enrollment ID: I20221020003113 |
| Provider Name | Lindsey Paige Gavin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487373007 PECOS PAC ID: 6103293519 Enrollment ID: I20221027001716 |
| Provider Name | Forrest Wayne Yorgason |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932823572 PECOS PAC ID: 9335516756 Enrollment ID: I20221027001908 |
| Provider Name | Kamryn Dean |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609508209 PECOS PAC ID: 6608243332 Enrollment ID: I20221109000365 |
| Provider Name | Sevon Taroian |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023562667 PECOS PAC ID: 5890166813 Enrollment ID: I20230130000564 |
| Provider Name | Joseph Michael Llavina |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053938811 PECOS PAC ID: 9335511476 Enrollment ID: I20230217001821 |
| Provider Name | Cheri Mills |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174905988 PECOS PAC ID: 4385018233 Enrollment ID: I20230316001718 |
| Provider Name | Danielle Musick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174221089 PECOS PAC ID: 3476927104 Enrollment ID: I20230321001565 |
| Provider Name | Joshua C Fletcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841991437 PECOS PAC ID: 9234595737 Enrollment ID: I20230524003446 |
| Provider Name | Jaden Michael Olson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407533185 PECOS PAC ID: 9436511334 Enrollment ID: I20230809001565 |
| Provider Name | Michael Wesley Sherman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992081228 PECOS PAC ID: 5890158125 Enrollment ID: I20230901003136 |
| Provider Name | Carlos Alberto Palomo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457701203 PECOS PAC ID: 2860846102 Enrollment ID: I20230920003757 |
| Provider Name | Cambria Averett Felt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215511373 PECOS PAC ID: 7618322595 Enrollment ID: I20231012001846 |
| Provider Name | John Ellis |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1750637393 PECOS PAC ID: 9638582430 Enrollment ID: I20240103002849 |
| Provider Name | Richard E Rainville |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023507290 PECOS PAC ID: 0648622019 Enrollment ID: I20240122002126 |
| Provider Name | Tammy Lynn Dunn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558851782 PECOS PAC ID: 8628420015 Enrollment ID: I20240122002898 |
| Provider Name | Heather L Brady |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1508510173 PECOS PAC ID: 0547605388 Enrollment ID: I20240301003364 |
| Provider Name | Jonathan D Flake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376301895 PECOS PAC ID: 6406296334 Enrollment ID: I20240429003449 |
| Provider Name | Chantel Iannone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427790104 PECOS PAC ID: 4587004916 Enrollment ID: I20240502003395 |
| Provider Name | Tifany Barlow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902233950 PECOS PAC ID: 0840632121 Enrollment ID: I20240531003050 |
| Provider Name | Tatiana Kathleen Millett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902194343 PECOS PAC ID: 6204378409 Enrollment ID: I20240603003866 |
| Provider Name | Julie Renee Bauserman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528705985 PECOS PAC ID: 3476090333 Enrollment ID: I20240808004789 |
| Provider Name | Theepika Nagalingam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447088844 PECOS PAC ID: 4587102017 Enrollment ID: I20240815002004 |
| Provider Name | Courtney Leigh Shockley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366273898 PECOS PAC ID: 0446799191 Enrollment ID: I20240827001374 |
| Provider Name | Trevor Robert James |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396413167 PECOS PAC ID: 2860925260 Enrollment ID: I20241023003913 |
| Provider Name | Janice Bang Eckman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588484166 PECOS PAC ID: 8527591825 Enrollment ID: I20241024003673 |
| Provider Name | Candice Schrodetzki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235630427 PECOS PAC ID: 1052666047 Enrollment ID: I20250102003164 |
| Provider Name | Collin Stoker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003624883 PECOS PAC ID: 6406385434 Enrollment ID: I20250121002146 |
| Provider Name | Michael Anthony Curfew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285037952 PECOS PAC ID: 4587194121 Enrollment ID: I20250211003390 |
| Provider Name | Shauna H Springer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205024577 PECOS PAC ID: 1456875665 Enrollment ID: I20250409002648 |
| Provider Name | Theresa Ipolito |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194499749 PECOS PAC ID: 1951826536 Enrollment ID: I20250416000739 |
| Provider Name | Kathryn Evans Dowden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235939125 PECOS PAC ID: 4284146838 Enrollment ID: I20250620001149 |
| Provider Name | Hannah M Mecham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861071037 PECOS PAC ID: 9739692088 Enrollment ID: I20250630003103 |
| Provider Name | Destiny Astin Manner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841003787 PECOS PAC ID: 2365958923 Enrollment ID: I20250721002523 |
| Provider Name | Dallin Bawden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992533939 PECOS PAC ID: 2466950522 Enrollment ID: I20250808001783 |
| Provider Name | Laura Mohlman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760893655 PECOS PAC ID: 3375807589 Enrollment ID: I20250815002479 |
| Provider Name | Justice Farley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417705831 PECOS PAC ID: 5092209015 Enrollment ID: I20251208003198 |
| Provider Name | Brittany Sherman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558843375 PECOS PAC ID: 3072093988 Enrollment ID: I20260218001681 |
| Provider Name | Kasey Scott West |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043009657 PECOS PAC ID: 1557844073 Enrollment ID: I20260312003675 |
| Provider Name | Brittany Archuletta |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811324635 PECOS PAC ID: 5698259828 Enrollment ID: I20260325001631 |
| Provider Name | Michael Folaumahina |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033837042 PECOS PAC ID: 0244714400 Enrollment ID: I20260325002598 |
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Destination Hope Counseling, LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1190 Spring Creek Pl, Suite D-2, Springville, UT 84663 Phone: 801-806-4226 Fax: 801-806-4227 |
Redwood Grove Diagnostics & Transitions LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 757 S Main St, Springville, UT 84663 Phone: 801-491-2270 |
2020 Counseling Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 79 W 900 N Ste A, Springville, UT 84663 Phone: 801-602-4712 |
River Basin Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 374 E 400 S Ste 2, Springville, UT 84663 Phone: 385-442-6326 |