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Active NPI 1013205152 Individual Practitioner Male Practitioner

Mark Wiltbank

Counselor • Mona, UT

Professional Overview & Biography Verified Profile Summary

Mark Wiltbank is a registered healthcare professional specializing in Counselor in Mona, UT. Practice services are available at 525 W. 200 N. under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

525 W. 200 N.

Mona, UT 84648

Telephone 4356232825
Fax 4356232827
Associated Practice Facility / Clinic
🏢 Spirit Lake Ranch, Llc Facility NPI 1639506884

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Mona, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.9 Yrs
Regional Practice Density
47 Specialists

Practicing in Mona, UT (3535 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners
Sarah Byrnes

Counselor

NPI 1083919823
NPI 1134426901
NPI 1194021501
Megan Perkins

Counselor

NPI 1265853014
Aaron Winsor

Counselor

NPI 1407151400
Lucas Kane

Counselor

NPI 1417260100

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
✅
NPI Profile Active July 11, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location July 11, 2011

Registered at 525 W. 200 N., MONA, UT 84648 (Tel: 4356232825)

📍
Updated Business Mailing Address July 11, 2011

Registered at 619 N 500 W, PROVO, UT 846011547 (Tel: 8013754240)

👤
Provider Name / Credentials Updated July 11, 2011

Recorded as MARK WILTBANK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 11, 2011

Counselor

🟢
Initial NPI Registration & Enumeration July 11, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1013205152
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 11, 2011
Last Update: July 11, 2011
Sole Proprietor: No
Update or Correct Profile

Mailing Address

619 N 500 W

Provo, UT 846011547

Phone: 8013754240

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.