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

Susanna Ivette Mayorga, CCM

Individual provider Case Manager/Care Coordinator · NPI 1205506078

Susanna Ivette Mayorga, CCM is a Case Manager/Care Coordinator in Provo, Utah. Practices as a sole proprietor. Registered with an NPI since 2021.

In the registry since
2021
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Practice location Address checks out

151 S University Ave Ste 1400
Provo, UT 84601-4427
Phone: (801) 851-7118
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1205506078
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCM
Sole proprietorYes
NPI enumeratedSeptember 14, 2021
Last updated in NPPESSeptember 14, 2021
Certification dateSeptember 14, 2021

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