Active NPI 1639630916 Individual Practitioner Female Practitioner

Marilee Vanwagenen , LCSW

Counselor • Provo, UT

Professional Overview & Biography Verified Profile Summary

Marilee Vanwagenen, LCSW is a registered healthcare professional specializing in Counselor in Provo, UT. Practice services are available at 151 S UNIVERSITY AVE STE 3200 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

151 S University Ave Ste 3200

Provo, UT 846014427

Telephone 8018517128

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Provo, UT

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 22.0 Yrs

State Avg: 9.9 Yrs

Regional Practice Density

211 Specialists

Practicing in Provo, 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

State License UT 140473-3501

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

20 Associated Practitioners

Wendy Bahr

Specialist/Technologist, Pathology - Laboratory Management

NPI 1093377145

Mary Edman , LPN

Licensed Practical Nurse

NPI 1144881137

Licensed Practical Nurse

Jacob Clay

Case Manager/Care Coordinator

NPI 1154950046

Suzi Smith , RN

Registered Nurse

NPI 1154967032

Registered Nurse

Kirstynn Snelson

Specialist/Technologist, Pathology - Laboratory Management

NPI 1174145320

Jacob Kuamoo

Case Manager/Care Coordinator

NPI 1174164370

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active March 28, 2019

NPI status registered as active in NPPES database

📍

Updated Practice Location March 28, 2019

Registered at 151 S UNIVERSITY AVE STE 3200, PROVO, UT 846014427 (Tel: 8018517128)

📍

Updated Business Mailing Address March 28, 2019

Registered at 151 S UNIVERSITY AVE STE 3200, PROVO, UT 846014427 (Tel: 8018517128)

👤

Provider Name / Credentials Updated March 28, 2019

Recorded as MARILEE VANWAGENEN, LCSW

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 28, 2019

Counselor (License #140473-3501 in UT)

🟢

Initial NPI Registration & Enumeration March 28, 2019

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: 1639630916

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 28, 2019

Last Update: March 28, 2019

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

151 S University Ave Ste 3200

Provo, UT 846014427

Phone: 8018517128

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.