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MOUNTAINSTAR BEHAVIORAL HEALTH LLC
NPI 1174868525
Psychiatry & Neurology - Neurology in Bountiful, UT

Active since December 11, 2012
630 MEDICAL DR, BOUNTIFUL, UT 84010(801) 299-2186(801) 299-2416 Get Directions Write a Review

NPPES record last updated: August 29, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 29, 2023, Jan 2, 2023, Oct 28, 2020 (3 updates tracked since 2020).

About Mountainstar Behavioral Health Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOUNTAINSTAR BEHAVIORAL HEALTH LLC (NPI 1174868525) is a healthcare organization registered as a neurology in Bountiful, Utah and active in the NPI registry since December 2012. The organization lists Louis Joseph, Vp, as its authorized official.

NPPES Registry Identity

NPI1174868525
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameMOUNTAINSTAR BEHAVIORAL HEALTH LLC
Location Address630 MEDICAL DRBountiful, UT 84010-4908
Mailing Address2000 Health Park DrBrentwood, TN 37027-4525 · (615) 373-7406 · Fax (866) 346-1426
Phone(801) 299-2186
Fax(801) 299-2416
Organization SubpartNo
Authorized OfficialLouis JosephVp · (615) 373-7630
Enumeration DateDecember 11, 2012
Last NPPES UpdateAugust 29, 20233 updates tracked since enumeration
NPPES CertifiedAugust 29, 2023
✔ NPI 1174868525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
630 MEDICAL DR, Bountiful, UT 84010
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, University of Utah Health Plans.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mountainstar Behavioral Health Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

17

Medicare enrollment records show 17 clinicians reassign Medicare billing to Mountainstar Behavioral Health LLC, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 8 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 2

Psychiatry9
Nurse Practitioner8

Clinicians, nearest first (17)

Joe Culbertson, M.D.
Psychiatry
NPI 1548286792
630 MEDICAL DR
Bountiful, UT 84010
(801) 299-3781
✔ PECOS✔ Accepts MedicareSame address
Jonathan Fox, NP
Nurse Practitioner
NPI 1508583709
630 MEDICAL DR
Bountiful, UT 84010
(801) 299-2155
✔ PECOS✔ Accepts MedicareSame address
Carl Rasmusen, MD
Psychiatry
NPI 1619048964
630 E MEDICAL DR
Bountiful, UT 84010
(801) 299-3781
✔ PECOS✔ Accepts MedicareSame address
Janice Trump, PMHNP
Nurse Practitioner
NPI 1205308780
630 MEDICAL DR
Bountiful, UT 84010
(801) 299-3781
✔ PECOS✔ Accepts MedicareSame address
Michael Roundy, PHYSICIAN SURGEON
Psychiatry
NPI 1255366696
630 MEDICAL DR
Bountiful, UT 84010
(801) 299-3781
✔ PECOS✔ Accepts MedicareSame address
Mandi Spens, PMHNP-BC
Nurse Practitioner
NPI 1073192357
630 MEDICAL DR
Bountiful, UT 84010
(801) 299-3781
✔ PECOS✔ Accepts MedicareSame address
Allison Peet, DO
Psychiatry
NPI 1912433012
1200 E 3900 S
Salt Lake City, UT 84124
(801) 268-7111
✔ PECOS✔ Accepts Medicare7.0 mi
Elisa Warren
Nurse Practitioner
NPI 1699357863
1200 E 3900 S
Salt Lake City, UT 84124
(801) 268-7111
✔ PECOS✔ Accepts Medicare7.0 mi
Jennifer Weakland, FNP
Nurse Practitioner
NPI 1083859714
1200 E 3900 S
Salt Lake City, UT 84124
(801) 268-7111
✔ PECOS14 mi
Anthony Petersen, M.D.
Psychiatry
NPI 1336407790
6550 S MILLROCK DR STE 250
Salt Lake City, UT 84121
(801) 821-2781
✔ PECOS✔ Accepts Medicare18 mi
Rossana Pagura, APRN
Nurse Practitioner
NPI 1851169676
5475 S 500 E
Ogden, UT 84405
(801) 479-2111
✔ PECOS✔ Accepts Medicare20 mi
Austin Goebel, DO
Psychiatry
NPI 1811421407
5475 S 500 E
Ogden, UT 84405
(801) 479-2111
✔ PECOS✔ Accepts Medicare20 mi
Trent Suggs, M.D.
Psychiatry
NPI 1346667235
5475 S 500 E
Ogden, UT 84405
(801) 479-2111
✔ PECOS✔ Accepts Medicare20 mi
Laura Allen, PMHNP
Nurse Practitioner
NPI 1710593363
1000 E 100 N
Payson, UT 84651
(801) 465-7041
✔ PECOS✔ Accepts Medicare59 mi
Forrest Bodily, MD
Psychiatry
NPI 1417585852
1000 E 100 N
Payson, UT 84651
(801) 465-7041
✔ PECOS✔ Accepts Medicare60 mi
Zacharia Roberts, APRN
Nurse Practitioner
NPI 1881186385
1000 E 100 N
Payson, UT 84651
(801) 465-7041
✔ PECOS✔ Accepts Medicare60 mi
Brian Harlan, MD
Psychiatry
NPI 1760579585
300 68TH ST SE
Grand Rapids, MI 49548
(616) 455-5000
✔ PECOS✔ Accepts Medicare1,353 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mountainstar Behavioral Health LLC's NPI number?

The NPI number for Mountainstar Behavioral Health LLC is 1174868525. It was assigned to this organization in the NPPES registry on December 11, 2012.

Where is Mountainstar Behavioral Health LLC located?

Mountainstar Behavioral Health LLC is located at 630 Medical Dr, Bountiful, UT 84010. The listed phone number is (801) 299-2186.

What is Mountainstar Behavioral Health LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Mountainstar Behavioral Health LLC enrolled in Medicare?

Yes. Mountainstar Behavioral Health LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mountainstar Behavioral Health LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 17 clinicians in 2 Medicare specialties reassign their Medicare billing to Mountainstar Behavioral Health LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Psychiatry (9) and Nurse Practitioner (8). Of these, 6 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Mountainstar Behavioral Health LLC accept?

Health plans from Molina Healthcare and University of Utah Health Plans list Mountainstar Behavioral Health LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mountainstar Behavioral Health LLC was last updated on August 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.