CENTER FOR MARRIAGE PREPARATION
NPI 1205568045
Clinic/Center - Adult Mental Health in Provo, UT
NPI Status: Active since June 29, 2022
Contact Information
3355 N UNIVERSITY AVE STE 250-D
PROVO, UT
ZIP 84604
Phone: (801) 471-9146
- Organization
- Clinic/Center
- Adult Mental Health
- CLIA Number: 46D2227491
- CLIA Cert. Type: Other - DOMESTIC VIOLENCE SHELTER
- CLIA Exp. Date: 06-13-2027
About CENTER FOR MARRIAGE PREPARATION
This page provides the complete NPI Profile along with additional information for Center For Marriage Preparation, a provider established in Provo, Utah operating as a Clinic/center, focusing in adult mental health . The healthcare provider is registered in the NPI registry with number 1205568045 assigned on June 2022. The practitioner's primary taxonomy code is 261QM0850X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Dr. Jeremy Boden Phd, Lmft (Executive Director)
- NPI
- 1205568045
- Provider Name
- CENTER FOR MARRIAGE PREPARATION
- Entity Type
- Organization
- Location Address
- 3355 N UNIVERSITY AVE STE 250-D PROVO, UT 84604
- Location Phone
- (801) 471-9146
- Mailing Address
- 3355 N UNIVERSITY AVE STE 250-D PROVO, UT 84604
- Mailing Phone
- (801) 471-9146
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-29-2022
- Last Update Date
- 06-29-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Adult Mental Health
- Taxonomy Code
- 261QM0850X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QM0801X | Ambulatory Health Care Facilities | Clinic/Center |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 46D2227491
- Facility Type
- Other - DOMESTIC VIOLENCE SHELTER
- Certificate Effective Date
- June 14, 2025
- Certificate Expiration Date
- June 13, 2027
- Laboratory Director
- LAURIE LOADER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Center For Marriage Preparation to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 0 | 5 | 5 | 6 | 8 | 0 | 4 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 0 | 5 | 10 | 6 | 16 | 0 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 0 + 5 + 1 + 0 + 6 + 1 + 6 + 0 + 8 + 24 = 55 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 55 = 5 | 5 | ||||||||
The NPI number 1205568045 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1205568045, enumerated as an "organization" on June 29, 2022.
The provider is located at 3355 N UNIVERSITY AVE STE 250-D PROVO, UT 84604 and the phone number is (801) 471-9146.
Clinic/Center with taxonomy code 261QM0850X and a focus in Adult Mental Health.
