LDS FAMILY SERVICES UT PROVO AGENCY
NPI 1669691499
Clinic/Center - Mental Health (Including Community Mental Health Center) in Provo, UT

NPI Status: Active since April 24, 2007

Contact Information

1190 N 900 E
204
PROVO, UT
ZIP 84604
Phone: (801) 422-7620
Fax: (801) 422-0165

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  • Organization
  • Clinic/Center
  • Mental Health (Including Community Menta...

About LDS FAMILY SERVICES UT PROVO AGENCY

This page provides the complete NPI Profile along with additional information for Lds Family Services Ut Provo Agency, a provider established in Provo, Utah operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1669691499 assigned on April 2007. The practitioner's primary taxonomy code is 261QM0801X with license number 12208 (UT). The provider is registered as an organization and their NPI record was last updated 17 years ago. The provider's is doing business as Lds Family Services Ut Provo Agency. The authorized official of this NPI record is Shawn A Gillies Lcsw (Agency Director)

NPI
1669691499
Provider Legal Name
LDS FAMILY SERVICES
Other Organization Name
LDS FAMILY SERVICES UT PROVO AGENCY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1190 N 900 E 204 PROVO, UT 84604
Location Phone
(801) 422-7620
Location Fax
(801) 422-0165
Mailing Address
1190 N 900 E 204 PROVO, UT 84604
Mailing Phone
(801) 422-7620
Mailing Fax
(801) 422-0165
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
04-24-2007
Last Update Date
06-06-2008
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Mental Health (Including Community Mental Health Center)

Taxonomy Code
261QM0801X
Type
Ambulatory Health Care Facilities
License No.
12208
License State
UT

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SHAWN A GILLIES LCSW

Authorized Official Title
AGENCY DIRECTOR
Authorized Official Phone
(801) 422-7620

Reviews for LDS FAMILY SERVICES UT PROVO AGENCY

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1669691499
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
261291292418
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 2 + 9 + 1 + 2 + 9 + 2 + 4 + 1 + 8 + 24 = 71
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 71 = 99

The NPI number 1669691499 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1396851424MR. DAVID JOACHIM CLISBEE LCSW
Individual
Social Worker (Clinical)1190 N 900 E
PROVO, UT 84604
(801) 422-7620
1619071750DR. RICHARD WOOD HARRIS PH.D.
Individual
Audiologist1190 N 900 E 131 TLRB, BRIGHAM YOUNG UNIVERSITY
PROVO, UT 84604
(801) 422-6460
1801971759MRS. SHARON ELIZABETH COTTLE MSW
Individual
Social Worker (Clinical)1190 N 900 E
PROVO, UT 84604
(801) 422-7620
1801963897 JANNA B DEAN LCSW
Individual
Social Worker (Clinical)1190 N 900 E
PROVO, UT 84604
(801) 422-7620
1982751301 SUSAN REYNOLDS LPC
Individual
Counselor (Professional)1190 N 900 E
PROVO, UT 84604
(801) 422-7620
1861618134DR. DAVID S WOOD PH.D.
Individual
Psychologist (Counseling)1190 N 900 E
PROVO, UT 84604
(801) 422-7620
1851518104MR. BRIAN DAVID ARMSTRONG LCSW
Individual
Social Worker (Clinical)1190 N 900 E
PROVO, UT 84604
(801) 422-7754
1871711101 MARY P CANNON LCSW
Individual
Social Worker (Clinical)1190 N 900 E
PROVO, UT 84604
(801) 422-7620
1952529026MS. SANDRA ELAINE SMITH LCSW
Individual
Social Worker (Clinical)1190 N 900 E # 211
PROVO, UT 84604
(801) 422-7620
1831318013MS. SALLY(SHERRY) SIEGFRIED ARMSTRONG LPCI, NCC
Individual
Counselor (Mental Health)1190 N 900 E
PROVO, UT 84604
(801) 422-7620
1861611865MR. SCOTT EDWARD MCCAULEY M.S.
Individual
Psychologist (Counseling)1190 N 900 E
PROVO, UT 84604
(801) 422-7620
1891917555MS. MARY SLOVER LMFT
Individual
Marriage & Family Therapist1190 N 900 E
PROVO, UT 84604
(801) 422-7620
1316150071 MARIA CARMEN LERI M.F.T.I.
Individual
Marriage & Family Therapist1190 N 900 E
PROVO, UT 84604
(801) 422-7620
1316152887MRS. DRUCILLA PETTIT CHRISTIANSEN C.S.W.
Individual
Social Worker (Clinical)1190 N 900 E
PROVO, UT 84604
(801) 422-7620
1750598017MS. JUDY LUANA ERICKSON MFT
Individual
Marriage & Family Therapist1190 N 900 E
PROVO, UT 84604
(801) 703-1154
1912179557DR. DEAN E. BARLEY PH.D.
Individual
Psychologist1190 N 900 E 237 TLRB
PROVO, UT 84604
(801) 422-7818
1518130939MR. JEFFERY ALAN BUELL L.C.S.W
Individual
Social Worker (Clinical)1190 N 900 E
PROVO, UT 84604
(801) 422-7620
1306003090 JEREMY B. YORGASON PHD
Individual
Marriage & Family Therapist1190 N 900 E
PROVO, UT 84604
(801) 422-7620
1467619189MR. ASHLEY JOHSTONEAUX MFTI
Individual
Marriage & Family Therapist1190 N 900 E
PROVO, UT 84604
(801) 422-7620
1912143157 CARI MITCHELL MFTI
Individual
Marriage & Family Therapist1190 N 900 E
PROVO, UT 84604
(801) 422-7620

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669691499, enumerated in the NPI registry as an "organization" on April 24, 2007

The provider is located at 1190 N 900 E 204 Provo, Ut 84604 and the phone number is (801) 422-7620

This medical organization specializes in Clinic/Center with taxonomy code 261QM0801X with a focus in Mental Health (Including Community Mental Health Center)

This NPI record was last updated on April 24, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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