MEDICARE: QUELL COUNSELING

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1649122110
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	QUELL COUNSELING

Provider Business Mailing Address
First Line	:	3585 N UNIVERSITY AVE STE 300
Second Line	:
City	:	PROVO
State	:	UT
Zip	:	84604-6611
Country	:	US
Telephone Number	:	385-384-2687
Fax Number	:

Provider Business Practice Location Address
First Line	:	3585 N UNIVERSITY AVE STE 300
Second Line	:
City	:	PROVO
State	:	UT
Zip	:	84604-6611
Country	:	US
Telephone Number	:	385-384-2687
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	WILLIAM HANSEN
Credential	:	CMHC
Telephone Number	:	208-860-9370

Provider Enumeration Date	:	02/09/2026
Last Update Date	:	02/09/2026

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Directions to “QUELL COUNSELING ” Practice Location

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