Coronado Wellness LLC
NPI 1700771995ActiveOrganization· Social Worker, Clinical· Provo, UT
Social Worker, Clinical in Provo, Utah, registered in NPPES in June 2025. The authorized official on file is Jamey Hughes, Director Of Operations. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1700771995 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 10, 2025 |
| Last updated in NPPES | Oct 21, 2026 |
| Certified by provider | Oct 21, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
| Counselor, Mental Health | 101YM0800X | — | — |
| Marriage & Family Therapist | 106H00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL); Part B Supplier - Clinic/Group Practice (UT) |
|---|
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