Phases of Change – Mental Illness Community Based Residential Treatment Facility, NPI 1134310956

Phases of Change is a healthcare provider. based in Ogden, Utah. specializing in Mental Illness Community Based Residential Treatment Facility. The organization holds a License No. 3314093902 (UT). The NPI Number for Phases of Change is 1134310956

Main info

Organization
Name
Phases of Change
NPI
1134310956
Phone
(801) 695-0386
Address
121 COUNTRY CLUB DR
Authorized Official
JEFFREY A LAVALLEE CEO LMFT
Enumeration Date
6 August 2007
Last Update Date
6 August 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness80
Years active:18State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for Phases of Change

  • 121, Country Club Drive, South Ogden, Weber County, Utah, 84408, United States

    OGDEN, UT 844052704

    Phone: (801) 695-0386

    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 84405)

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Frequently asked questions

What identifier follows Phases of Change across health systems?
The NPI 1134310956 uniquely identifies Phases of Change in U.S. healthcare data.
Quick check: is Phases of Change active?
Public NPPES data shows Phases of Change with an active NPI status right now.
What type of care does Phases of Change provide?
Phases of Change's profile centers on Mental Illness Community Based Residential Treatment Facility. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Phases of Change?
Phases of Change is associated with Ogden, Utah in the same public data insurers reference.
Why is information missing for Phases of Change?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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