ELEMENTS WILDERNESS PROGRAM – Emotionally Disturbed Childrens' Residential Treatment Facility, NPI 1013249713

ELEMENTS WILDERNESS PROGRAM is a healthcare provider. based in Salt lake city, Utah. specializing in Emotionally Disturbed Childrens' Residential Treatment Facility. The organization holds a License No. 15403 (UT). The NPI Number for ELEMENTS WILDERNESS PROGRAM is 1013249713

Main info

Organization
Name
ELEMENTS WILDERNESS PROGRAM
NPI
1013249713
Phone
(801) 712-3372
Address
5807 FONTAINE BLEU DR
Authorized Official
MS. MARY COVINGTON INSURANCE CONSULTANT
Enumeration Date
4 February 2010
Last Update Date
4 February 2010
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

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Provider Addresses for ELEMENTS WILDERNESS PROGRAM

  • 5807 FONTAINE BLEU DR

    SALT LAKE CITY, UT 841211819

    Phone: (801) 712-3372

    Type: Mailing

  • 130, North Main Street, Huntington, Angelina County, Texas, 75949, United States

    HUNTINGTON, UT 84528

    Phone: (801) 712-3372

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84121)

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Reviews

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Frequently asked questions

What is the registry number for ELEMENTS WILDERNESS PROGRAM?
The registry entry for ELEMENTS WILDERNESS PROGRAM shows NPI 1013249713.
Does the public listing show ELEMENTS WILDERNESS PROGRAM as active?
ELEMENTS WILDERNESS PROGRAM's NPI record reflects an active status in NPPES.
What does the directory say ELEMENTS WILDERNESS PROGRAM does?
Insurance directories may phrase it differently, but here ELEMENTS WILDERNESS PROGRAM maps to Emotionally Disturbed Childrens' Residential Treatment Facility. Clinical services aligned with this taxonomy classification.
What geographic area is tied to ELEMENTS WILDERNESS PROGRAM?
ELEMENTS WILDERNESS PROGRAM is associated with Salt Lake City, Utah in the same public data insurers reference.
Why is information missing for ELEMENTS WILDERNESS PROGRAM?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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