Active NPI
Alisa L Harmon, MA, ACMHC, NCC
- Mental Health Counselor
- West Valley City, UT
National Provider Identifier
1003465725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 37AC00335600
- Practice address
- LDS Family Services
5698 Glen Eagle Drive
West Valley City, UT 84128 - Phone
- (801) 969-4181
- NPI assigned
- Sep 5, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 37AC00335600 | NJ | Primary |
Addresses
Primary practice location
LDS Family Services
5698 Glen Eagle Drive
West Valley City, UT 84128
Mailing address
735 E Three Fountains Cir Unit 51
Murray, UT 84107-5249
Phone (917) 748-2011
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37AC00335600 | NJ | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LDS Family Services | Past | Accepting new patients | |
| LDS Family Services | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Counselor
- West Valley City, UT
- NPI 1548342553
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Renton, WA
- NPI 1073726485
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567641600000",
"number": "1003465725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "735 E THREE FOUNTAINS CIR UNIT 51",
"city": "MURRAY",
"state": "UT",
"postal_code": "841075249",
"telephone_number": "917-748-2011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "LDS FAMILY SERVICES",
"address_2": "5698 GLEN EAGLE DRIVE",
"city": "WEST VALLEY CITY",
"state": "UT",
"postal_code": "84128",
"telephone_number": "801-969-4181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARMON",
"first_name": "ALISA",
"middle_name": "L",
"credential": "MA, ACMHC, NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-05",
"last_updated": "2019-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NJ",
"license": "37AC00335600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Valley City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.