Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jonatan Lopez Mancilla

Individual provider Mental Health Counselor · NPI 1053973685

Jonatan Lopez Mancilla is a Clinical Social Worker in Ephraim, Utah. Qualified in 2025, 1 year ago. Registered with an NPI since 2019.

Years since qualifying
1
In the registry since
2019
Specialties on file
2

Practice location Address checks out

390 W 100 N
Ephraim, UT 84627-2131
Phone: (435) 283-4065
Fax: (435) 462-8407
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1053973685
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 3, 2019
Last updated in NPPESOctober 17, 2025
Certification dateOctober 17, 2025
Mailing address152 N 400 W, Ephraim, UT 84627-5549

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Ephraim