ASPIRO ADVENTURE LLC — NPI 1295266559 (Licensed & Credentialed Residential Treatment Facility, Emotionally Disturbed Children in MT PLEASANT, UT)

CMS-1500 Box 24J / 33a • NPI

1295266559

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

322D00000X

Licensed & Credentialed Residential Treatment Facility, Emotionally Disturbed Children

Box 32 Service Location & ZIP+4

695 W WAKARA AVE, MT PLEASANT, UT, 84647

Official NPPES Practice Location

Practice Phone & Referral Fax

(801) 349-2740

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1295266559 (ASPIRO ADVENTURE LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1295266559` (NPI-2 Organization / Facility)
Provider / Legal Name	ASPIRO ADVENTURE LLC
Plain-English Specialty	Licensed & Credentialed Residential Treatment Facility, Emotionally Disturbed Children NUCC Code: `322D00000X` (Residential Treatment Facility, Emotionally Disturbed Children)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	695 W WAKARA AVE, MT PLEASANT, UT, 84647
Practice Telephone / Fax	Tel: (801) 349-2740
Administrative Mailing Address	63 E 11400 S, SANDY, UT, 84070
Enumeration & Last Sync	Enumerated: 2017-03-27 \| CMS Record Updated: 2017-03-27
Authorized Official	KATIE THOMA (CFO)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

695 W WAKARA AVE, MT PLEASANT, UT, 84647

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Plain-English Taxonomy & CMS Crosswalk (322D00000X)

What Does Taxonomy Code 322D00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 322D00000X translates to:
"Licensed & Credentialed Residential Treatment Facility, Emotionally Disturbed Children"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Residential Treatment Facility, Emotionally Disturbed Children for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ASPIRO ADVENTURE LLC)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`324500000X` — Substance Abuse Rehabilitation Facility Plain English: Licensed & Credentialed Substance Abuse Rehabilitation Facility	State: N/A \| License: `Verified` \| Primary: Secondary
`322D00000X` — Residential Treatment Facility, Emotionally Disturbed Children Plain English: Licensed & Credentialed Residential Treatment Facility, Emotionally Disturbed Children	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ASPIRO ADVENTURE LLC (NPI #1295266559)