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CORONADO WELLNESS LLC
NPI 1700771995
Social Worker - Clinical in Provo, UT

Active since June 10, 2025
3507 N UNIVERSITY AVE STE 225, PROVO, UT 84604(801) 960-9355 Get Directions Write a Review

NPPES record last updated: February 5, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 5, 2026, Jun 10, 2025 (2 updates tracked since 2025).

About Coronado Wellness Llc NPPES

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

CORONADO WELLNESS LLC (NPI 1700771995) is a healthcare organization registered as a clinical in Provo, Utah and active in the NPI registry since June 2025. The organization maintains 2 additional practice locations and lists Jamey Hughes, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1700771995
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameCORONADO WELLNESS LLC
Location Address3507 N UNIVERSITY AVE STE 225Provo, UT 84604-6635
Mailing Address3507 N University Ave Ste 225Provo, UT 84604-6635 · (801) 960-9355
Phone(801) 960-9355
Organization SubpartNo
Authorized OfficialJamey HughesDirector Of Operations · (801) 960-9355
Enumeration DateJune 10, 2025
Last NPPES UpdateFebruary 5, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2026
✔ NPI 1700771995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedMarriage & Family TherapistTaxonomy 106H00000X
3507 N UNIVERSITY AVE STE 225, Provo, UT 84604
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Secondary Practice Locations 2

Location 11220 N Main St Ste 11Springville, UT 84663-4016 · Phone (801) 960-9355
Location 211576 S State St Ste 202Draper, UT 84020-7177 · Phone (801) 960-9355

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, 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)

Coronado Wellness Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

12

Medicare enrollment records show 12 clinicians reassign Medicare billing to Coronado Wellness LLC, which bills Medicare for the services they deliver. Of these, 7 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 5

Clinical Social Worker8
Marriage and Family Therapist1
Mental Health Counselor1
Nurse Practitioner1
Psychiatry1

Clinicians, nearest first (12)

Christopher Hohaia
Clinical Social Worker
NPI 1508210980
151 S UNIVERSITY AVE SUITE 3200
Provo, UT 84601
(801) 851-7652
✔ PECOS✔ Accepts Medicare3.0 mi
Monica Blume, LCSW LLC
Clinical Social Worker
NPI 1396068854
1220 N MAIN ST STE 11
Springville, UT 84663
(801) 361-0982
✔ PECOS✔ Accepts Medicare7.1 mi
Brandy Sperle, MSW
Clinical Social Worker
NPI 1386252401
1220 N MAIN ST STE 11
Springville, UT 84663
(801) 885-8515
✔ PECOS✔ Accepts Medicare7.1 mi
Thomas Rayner, MD
Psychiatry
NPI 1194008979
1221 S VALLEY GROVE WAY STE 160
Pleasant Grove, UT 84062
(801) 447-7189
✔ PECOS✔ Accepts Medicare7.3 mi
Brent Hall, LMFT
Marriage and Family Therapist
NPI 1386840213
330 E 400 S STE 1
Springville, UT 84663
(801) 491-0222
✔ PECOS✔ Accepts Medicare8.5 mi
Korey Larsen, LCSW
Clinical Social Worker
NPI 1558510040
1672 W 700 S STE D
Springville, UT 84663
(801) 369-8351
✔ PECOS✔ Accepts Medicare8.8 mi
Lesa Koger, CSW
Clinical Social Worker
NPI 1518553106
655 E 400 S STE D
Springville, UT 84663
(801) 836-4377
✔ PECOS8.9 mi
Naomi Christiansen, CSW
Clinical Social Worker
NPI 1962020214
433 S 500 E
American Fork, UT 84003
(801) 216-8000
✔ PECOS11 mi
Laurie Coleman, MSW, LCSW
Clinical Social Worker
NPI 1538690219
5126 W DAYBREAK PKWY
South Jordan, UT 84009
(801) 213-5331
✔ PECOS26 mi
Rachel Ellingson, LCSW
Clinical Social Worker
NPI 1841816147
724 E 2100 S
Salt Lake City, UT 84106
(801) 487-0499
✔ PECOS✔ Accepts Medicare33 mi
Crystal Davis, NP
Nurse Practitioner
NPI 1942183579
3838 N CAMPBELL AVE STE H
Tucson, AZ 85719
(520) 694-8888
✔ PECOS✔ Accepts Medicare553 mi
Brian Allred, LPC
Mental Health Counselor
NPI 1265696751
308 BUCK CREEK RD
Silex, MO 63377
(573) 384-5755
✔ PECOS1,094 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 Coronado Wellness LLC's NPI number?

The NPI number for Coronado Wellness LLC is 1700771995. It was assigned to this organization in the NPPES registry on June 10, 2025.

Where is Coronado Wellness LLC located?

Coronado Wellness LLC is located at 3507 N University Ave Ste 225, Provo, UT 84604. The listed phone number is (801) 960-9355.

What is Coronado Wellness LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Coronado Wellness LLC enrolled in Medicare?

Yes. Coronado Wellness LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Coronado Wellness LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 5 Medicare specialties reassign their Medicare billing to Coronado Wellness 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 Clinical Social Worker (8), Marriage and Family Therapist (1) and Mental Health Counselor (1). Of these, 7 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Coronado Wellness LLC accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Coronado Wellness 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 Coronado Wellness LLC was last updated on February 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.