| Northeastern Counseling Center | |
|
1140 W 500 S Vernal UT 84078-2914 | |
| (435) 725-6300 | |
| (435) 725-6325 |
| Full Name | Northeastern Counseling Center |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1140 W 500 S, Vernal, Utah |
| Authorized Official Name and Position | Kyle Snow (CFO) |
| Authorized Official Contact | 4357256300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeastern Counseling Center 1140 W 500 S #9 Vernal UT 84078 Ph: (435) 725-6300 | Northeastern Counseling Center 1140 W 500 S Vernal UT 84078-2914 Ph: (435) 725-6300 |
| NPI Number | 1891873121 |
|---|---|
| Provider Enumeration Date | 11/02/2006 |
| Last Update Date | 08/17/2018 |
| Medicare PECOS PAC ID | 9133183072 |
|---|---|
| Medicare Enrollment ID | O20041119000092 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891873121 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Patricia S Bennett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720161912 PECOS PAC ID: 3476519042 Enrollment ID: I20041206000447 |
| Provider Name | Melody A Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508949785 PECOS PAC ID: 8921064171 Enrollment ID: I20041208001112 |
| Provider Name | Clayton S Syndergaard |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134106784 PECOS PAC ID: 8426132143 Enrollment ID: I20080219000822 |
| Provider Name | Keith H Evans |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1033179049 PECOS PAC ID: 2668631573 Enrollment ID: I20120313000670 |
| Provider Name | Jonathan E Crane |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669775854 PECOS PAC ID: 8022246941 Enrollment ID: I20140122000737 |
| Provider Name | Catherine P Jurado |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992098602 PECOS PAC ID: 5597983858 Enrollment ID: I20140827002881 |
| Provider Name | Fredrick W Wright |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265980403 PECOS PAC ID: 3173801917 Enrollment ID: I20161028000611 |
| Provider Name | Sommer Tiffany Korth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598117434 PECOS PAC ID: 4486927092 Enrollment ID: I20170901001961 |
| Provider Name | Tracie Lynn Carmichael |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811363021 PECOS PAC ID: 9032456850 Enrollment ID: I20190131001919 |
| Provider Name | Kirk Heath Mcdougal-deans |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932607249 PECOS PAC ID: 2466866421 Enrollment ID: I20210202002980 |
| Provider Name | Tiara Littledyke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588904049 PECOS PAC ID: 1153737655 Enrollment ID: I20210308002858 |
| Provider Name | Dylan Jake Graff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679935183 PECOS PAC ID: 4385042621 Enrollment ID: I20211018000957 |
| Provider Name | Megan D'on Berlin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477195303 PECOS PAC ID: 5193116366 Enrollment ID: I20211222001828 |
| Provider Name | Jessica Briggs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184047482 PECOS PAC ID: 4880070036 Enrollment ID: I20220926003093 |
| Provider Name | Desree Allred |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659931921 PECOS PAC ID: 3173990348 Enrollment ID: I20221031002129 |
| Provider Name | Susan Denver Betts |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437657749 PECOS PAC ID: 7719354711 Enrollment ID: I20221103003060 |
| Provider Name | Kandice Searle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225698517 PECOS PAC ID: 7012387871 Enrollment ID: I20230112001082 |
| Provider Name | Melissa Slaugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740698174 PECOS PAC ID: 8729451786 Enrollment ID: I20230222002832 |
| Provider Name | Amber Clayton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609527951 PECOS PAC ID: 6608241302 Enrollment ID: I20230411002863 |
| Provider Name | Allison Dynett Scott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922773019 PECOS PAC ID: 4587007208 Enrollment ID: I20240209002428 |
| Provider Name | Gaven Sepulveda |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841629748 PECOS PAC ID: 2466897129 Enrollment ID: I20240304002923 |
| Provider Name | Samantha Jo Atwood |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083954291 PECOS PAC ID: 9032554720 Enrollment ID: I20240304004032 |
| Provider Name | Preston David Kadleck |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1205363736 PECOS PAC ID: 5991140543 Enrollment ID: I20240305002393 |
| Provider Name | Rochelle L Danley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114177318 PECOS PAC ID: 4082022512 Enrollment ID: I20240305004091 |
Northeastern Counseling Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1140 W 500 S, Vernal, UT 84078 Phone: 435-725-6300 Fax: 435-725-6325 | |
True Self Revival Counseling, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 639 E 1375 S, Vernal, UT 84078 Phone: 435-210-0997 | |
The Phoenix Recovery & Counseling Center - Vernal Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1783 W 1000 S, Vernal, UT 84078 Phone: 435-709-8399 Fax: 801-619-2016 | |
Learning Solutions Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 80 N Vernal Ave, Vernal, UT 84078 Phone: 435-789-5683 Fax: 833-520-1531 | |
Ashley Family Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 38 E 100 N Ste B, Vernal, UT 84078 Phone: 435-781-8000 Fax: 435-781-8001 | |
Kodiak Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 175 N 100 W Ste N103, Vernal, UT 84078 Phone: 435-962-0705 | |
Cardinal Counseling, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 185 N Vernal Ave Ste 1, Vernal, UT 84078 Phone: 435-621-1173 |