SUSANNA IVETTE MAYORGA CCM
NPI 1205506078
Case Manager/Care Coordinator in Provo, UT

Active since September 14, 2021
151 S UNIVERSITY AVE STE 1400, PROVO, UT 84601(801) 851-7118 Get Directions Write a Review

NPPES record last updated: September 14, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Susanna Ivette Mayorga Ccm NPPES

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

SUSANNA IVETTE MAYORGA CCM (NPI 1205506078) is an individual case manager/care coordinator provider in Provo, Utah and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1205506078
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameSUSANNA IVETTE MAYORGACredential: CCM
Location Address151 S UNIVERSITY AVE STE 1400Provo, UT 84601-4427
Mailing Address138 S 1100 WSpringville, UT 84663-5507 · (801) 369-7538
Sole ProprietorYes
Enumeration DateSeptember 14, 2021
NPPES CertifiedSeptember 14, 2021
NPI 1205506078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
151 S UNIVERSITY AVE STE 1400, Provo, UT 84601

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (School)
151 S UNIVERSITY AVE STE 1400
PROVO, UT 84601
Student in an Organized Health Care Education/Training Program
151 S UNIVERSITY AVE STE 1400
PROVO, UT 84601

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 Susanna Mayorga's NPI number?

The NPI number for Susanna Mayorga is 1205506078. It was assigned to this individual provider in the NPPES registry on September 14, 2021.

Where is Susanna Mayorga located?

Susanna Mayorga practices at 151 S University Ave Ste 1400, Provo, UT 84601. The listed phone number is (801) 851-7118.

What is Susanna Mayorga's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Susanna Mayorga was last updated on September 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.