Second Nature Wilderness Program
Second Nature Wilderness Program is a healthcare organization registered as Emotionally Disturbed Childrens' Residential Treatment Facility in Duchesne, UT, holding Type 2 (organization) NPI 1619191095 since 2007. The authorized official on file is Angie Evans, Business Office.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1619191095 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Second Nature Wilderness Program |
| Other name | <Unavail> |
| Practice address | 382 WEST MAIN STREET, Duchesne, UT, 84021 |
| Phone | 4357382040 |
| Fax | 4357382046 |
| Enumeration date | 2007-04-13 |
| Last updated in NPPES | 2012-05-29 |
Authorized official
| Name | Angie Evans |
|---|---|
| Title | Business Office |
| Phone | 8017666604 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | Primary | 18067 | UT |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11846 | Other | UT | STATE LICENSE NUMBER |
Copy-ready billing details
Provider: Second Nature Wilderness Program NPI: 1619191095 Taxonomy: 322D00000X (Emotionally Disturbed Childrens' Residential Treatment Facility) Address: 382 WEST MAIN STREET, Duchesne, UT, 84021
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1467783365 | Louise Vaughn | Individual | Mental Health Counselor | Duchesne, UT |
| 1912238635 | Brad Reedy | Individual | Clinical Social Worker | Duchesne, UT |
| 1063776862 | Devan Glissmeyer | Individual | Mental Health Counselor | Duchesne, UT |
| 1295285146 | Cheryl Kehl | Individual | Clinical Social Worker | Duchesne, UT |
Verify this record
Cross-check NPI 1619191095 against the authoritative CMS record: view Second Nature Wilderness Program on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
How current is this record?
Where is Second Nature Wilderness Program located?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2012-05-29.