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Jentrie Tessa Allred

Behavior Technician β€’ Provo, UT

Active NPI 1578097507 Individual Practitioner Female Practitioner
Practice location in NPPES

750 N Freedom Blvd
Provo, UT 84601

Call 8013734760 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

750 N Freedom Blvd

Provo, UT 84601

Telephone 8013734760
Fax 8013730639
Organization at the Same NPPES Address or Phone
Wasatch Behavioral Health Special Service District Facility NPI 1356357115

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Provo and Utah

221 active clinicians are listed under Behavior Technician with a practice address in Provo, UT (10,584 in Utah).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Provo

0% of these 221 clinicians have the CMS telehealth indicator.

0% of these 221 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Behavior Technician Primary Specialty

NUCC Taxonomy Code: 106S00000X

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Utah Division of Professional Licensing.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
GMM074M6754 (UT)

Secondary Practice Locations

750 N Freedom Blvd

Provo, UT 846011677

Phone: 8013734760

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

2 listed
Karen Amsden , LCSW

Social Worker - Clinical

NPI 1023109717

Licensed Clinical Social Worker

Gary Webb , APRN

Nurse Practitioner - Psychiatric/Mental Health

NPI 1063962140

Advanced Practice Registered Nurse

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location June 08, 2018

Registered at 750 N FREEDOM BLVD, PROVO, UT 84601 (Tel: 8013734760)

πŸ“
Updated Business Mailing Address June 08, 2018

Registered at 1875 S GENEVA RD, OREM, UT 840582217 (Tel: 8014370490)

βœ…
NPI Profile Active April 17, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 17, 2017

Registered at 750 N FREEDOM BLVD, PROVO, UT 846011677 (Tel: 8013734760)

πŸ“
Business Mailing Address (Initial Record) April 17, 2017

Registered at 750 N FREEDOM BLVD, PROVO, UT 846011677 (Tel: 8013734760)

πŸ‘€
Provider Name / Credentials (Initial Record) April 17, 2017

Recorded as JENTRIE ALLRED

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 17, 2017

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration April 17, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1578097507
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 17, 2017
Last Update: June 08, 2018
Sole Proprietor: No

Mailing Address

1875 S Geneva Rd

Orem, UT 840582217

Phone: 8014370490

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.