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CLEAR RECOVERY OF CACHE VALLEY
NPI 1922478056
Community/Behavioral Health in Providence, UT

Active since October 01, 2015CLIA 46D2103600 · Waiver
277 N SPRING CREEK PKWY, PROVIDENCE, UT 84332(435) 753-0253(435) 753-0106 Get Directions Write a Review

NPPES record last updated: May 9, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 9, 2019, Oct 1, 2015 (2 updates tracked since 2015).

About Clear Recovery Of Cache Valley NPPES

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

CLEAR RECOVERY OF CACHE VALLEY (NPI 1922478056) is a healthcare organization registered as a community/behavioral health in Providence, Utah and active in the NPI registry since October 2015. The organization holds a CLIA Waiver certificate valid through October 14, 2027 and lists Jay Robert Hymas, Ceo, as its authorized official.

NPPES Registry Identity

NPI1922478056
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameCLEAR RECOVERY OF CACHE VALLEY
Location Address277 N SPRING CREEK PKWYProvidence, UT 84332-9775
Mailing AddressPo Box 476Providence, UT 84332-0476 · (435) 753-0253 · Fax (435) 753-0106
Phone(435) 753-0253
Fax(435) 753-0106
Organization SubpartNo
Authorized OfficialJay Robert HymasCeo · (435) 258-8983
Enumeration DateOctober 1, 2015
Last NPPES UpdateMay 9, 20192 updates tracked since enumeration
✔ NPI 1922478056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in UT · 15425
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
277 N SPRING CREEK PKWY, Providence, UT 84332
Open in Google Maps ↗

Accepted Insurance

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

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 46D2103600

Clear Recovery Of Cache Valley, LLC · Providence, UT
Active · expires Oct 14, 2027
CLIA Number46D2103600
Laboratory TypeOutpatient Substance Abus
Certificate Effective DateOctober 15, 2025
Certificate Expiration DateOctober 14, 2027
Laboratory DirectorBrant Fonnesbeck Do
Laboratory Phone(435) 753-0253
Laboratory LocationClear Recovery Of Cache Valley, LLC277 N Spring Creek Parkway, Providence, UT 84332
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 5

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

HEATHER BALLINGHAM
Counselor (Mental Health)
277 N SPRING CREEK PKWY
PROVIDENCE, UT 84332
Cache County (435) 753-0253
DEBORAH REED MCBRIDE
Social Worker (Clinical)
277 N SPRING CREEK PKWY
PROVIDENCE, UT 84332
Cache County (435) 753-0253
SARAH GRIGGS CSW
Counselor (Mental Health)
277 N SPRING CREEK PKWY
PROVIDENCE, UT 84332
Cache County (435) 753-0253
MS. KERRI LEE BORDELON MSW, CSW
Social Worker (Clinical)
277 N SPRING CREEK PKWY
PROVIDENCE, UT 84332
Cache County (435) 753-0253
MELANIE RUST
Case Manager/Care Coordinator
277 N SPRING CREEK PKWY
PROVIDENCE, UT 84332
Cache County (435) 753-0253

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 Clear Recovery Of Cache Valley's NPI number?

The NPI number for Clear Recovery Of Cache Valley is 1922478056. It was assigned to this organization in the NPPES registry on October 1, 2015.

Where is Clear Recovery Of Cache Valley located?

Clear Recovery Of Cache Valley is located at 277 N Spring Creek Pkwy, Providence, UT 84332. The listed phone number is (435) 753-0253.

What is Clear Recovery Of Cache Valley's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Does Clear Recovery Of Cache Valley hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 46D2103600) is associated with this NPI, valid through October 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Clear Recovery Of Cache Valley accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Clear Recovery Of Cache Valley 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 Clear Recovery Of Cache Valley was last updated on May 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.