JEREMIAH SOUTHWORTH – Mental Health Counselor, NPI 1104223593

JEREMIAH SOUTHWORTH is a healthcare provider. based in Provo, Utah. specializing in Mental Health Counselor. The NPI Number for JEREMIAH SOUTHWORTH is 1104223593

Main info

Male
Sole Proprietor
Name
JEREMIAH SOUTHWORTH
NPI
1104223593
Phone
(801) 373-4760
Address
750 N FREEDOM BLVD
Enumeration Date
1 December 2014
Last Update Date
7 May 2020
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:11State licenses:0Digital endpointsOther names

Provider Addresses for JEREMIAH SOUTHWORTH

  • 750 N FREEDOM BLVD

    PROVO, UT 846011677

    Phone: (801) 373-4760

    Fax: (801) 373-0639

    Mailing address matches the actual address.

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 84601)

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Reviews

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Frequently asked questions

What number should I use to identify JEREMIAH SOUTHWORTH for billing?
Administrative and clinical systems typically use NPI 1104223593 for JEREMIAH SOUTHWORTH.
Does the public listing show JEREMIAH SOUTHWORTH as active?
JEREMIAH SOUTHWORTH's NPI record reflects an active status in NPPES.
How should patients interpret JEREMIAH SOUTHWORTH's specialty?
The extract shows Mental Health Counselor for JEREMIAH SOUTHWORTH. Clinical services aligned with this taxonomy classification.
What geographic area is tied to JEREMIAH SOUTHWORTH?
JEREMIAH SOUTHWORTH is associated with Provo, Utah in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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