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SECOND NATURE UINTAS
NPI 1619191095
Residential Treatment Facility, Emotionally Disturbed Children in Duchesne, UT

Active since April 13, 2007CLIA 46D2188473 · Waiver
382 WEST MAIN STREET, DUCHESNE, UT 84021(435) 738-2040(435) 738-2046 Get Directions Write a Review

NPPES record last updated: May 29, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Second Nature Uintas NPPES

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

SECOND NATURE UINTAS (NPI 1619191095) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Duchesne, Utah and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through July 16, 2028 and lists Angie Evans, Business Office, as its authorized official.

NPPES Registry Identity

NPI1619191095
Entity TypeOrganization
Primary Taxonomy322D00000X
Legal Business NameSECOND NATURE WILDERNESS PROGRAM
Location Address382 WEST MAIN STREETDuchesne, UT 84021-0318
Mailing Address382 West Main StreetDuchesne, UT 84021-0318 · (435) 738-2040 · Fax (435) 738-2046
Phone(435) 738-2040
Fax(435) 738-2046
Organization SubpartNo
Authorized OfficialAngie EvansBusiness Office · (801) 766-6604
Enumeration DateApril 13, 2007
Last NPPES UpdateMay 29, 2012
✔ NPI 1619191095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities
Taxonomy Code322D00000X
License✔ Licensed in UT · 18067
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
382 WEST MAIN STREET, Duchesne, UT 84021
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Other Names 1

Other NameSecond Nature Uintas

Other Identifiers 1

Other11846UT · State License Number

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 46D2188473

Second Nature Wilderness Program · Duchesne, UT
Active · expires Jul 16, 2028
CLIA Number46D2188473
Laboratory TypeWilderness Program
Certificate Effective DateJuly 17, 2026
Certificate Expiration DateJuly 16, 2028
Laboratory DirectorAdam Balls
Laboratory Phone(435) 738-2040
Laboratory LocationSecond Nature Wilderness Program382 W Main St, Duchesne, UT 84021
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

DR. DEVAN G GLISSMEYER PH.D.
Counselor (Mental Health)
382 WEST MAIN STREET
DUCHESNE, UT 84021
Duchesne County (435) 738-2040
CHERYL KEHL
Social Worker (Clinical)
382 WEST MAIN STREET
DUCHESNE, UT 84021
Duchesne County (435) 738-2040
MS. LOUISE ANN VAUGHN CMHC
Counselor (Mental Health)
382 WEST MAIN STREET
DUCHESNE, UT 84021
Duchesne County (435) 738-2040
BRAD MICHAEL REEDY
Social Worker (Clinical)
382 WEST MAIN STREET
DUCHESNE, UT 84021
Duchesne County (435) 738-2040

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 Second Nature Wilderness Program's NPI number?

The NPI number for Second Nature Wilderness Program is 1619191095. It was assigned to this organization in the NPPES registry on April 13, 2007. The provider is also known as Second Nature Uintas.

Where is Second Nature Wilderness Program located?

Second Nature Wilderness Program is located at 382 West Main Street, Duchesne, UT 84021. The listed phone number is (435) 738-2040.

What is Second Nature Wilderness Program's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

Does Second Nature Wilderness Program hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 46D2188473) is associated with this NPI, valid through July 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Second Nature Wilderness Program was last updated on May 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.