Jeremiah Southworth
NPI 1104223593 · Mental Health Counselor · Provo, UT
Jeremiah Southworth is a Mental Health Counselor provider in Provo, UT (NPI 1104223593).
Provider details
- NPI number
- 1104223593
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Peer Specialist175T00000X
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2014-12-01
- Last updated
- 2020-05-07
- Certified
- 2020-05-07
Frequently asked questions
- What is Jeremiah Southworth's NPI number?
- Jeremiah Southworth's National Provider Identifier (NPI) is 1104223593, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jeremiah Southworth's specialty?
- Jeremiah Southworth is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Jeremiah Southworth located?
- Jeremiah Southworth's practice location on file with NPPES is 750 N Freedom Blvd, Provo, UT 84601-1677.
- What is Jeremiah Southworth's phone number?
- The practice phone number listed in the NPPES registry for Jeremiah Southworth is (801) 373-4760.
- Is Jeremiah Southworth's NPI active?
- Yes — Jeremiah Southworth's NPI (1104223593) is active in the NPPES registry as of the last update on 2020-05-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.