NPIMap

Organization Active NPI

Solace Emotional Health

  • Mental Health Counselor
  • Pleasant Grove, UT
National Provider Identifier
1013370402
Registry record updated Apr 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
55044786004 Issued in UT
Legal business name
SOLACE EMOTIONAL HEALTH
Practice address
1364 W State Rd
#204
Pleasant Grove, UT 84062-4109
Phone
(801) 785-8885
NPI assigned
Apr 1, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jerry Redd, PHDNPI 1093111999
Title
Owner
Phone
(801) 785-8885

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 55044786004 UT Primary

Addresses

Primary practice location

1364 W State Rd
#204
Pleasant Grove, UT 84062-4109

Mailing address

1364 W State Rd
#204
Pleasant Grove, UT 84062-4109

National Provider Directory

National Provider Directory

Locations

1364 W State Rd
Ste 204
Pleasant Grove, UT 84062
Phone (801) 785-8885

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1459468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459468800000",
    "number": "1013370402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1364 W STATE RD",
            "address_2": "#204",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840624109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1364 W STATE RD",
            "address_2": "#204",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840624109",
            "telephone_number": "801-785-8885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLACE EMOTIONAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-01",
        "last_updated": "2016-04-01",
        "status": "A",
        "authorized_official_last_name": "REDD",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-785-8885",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "55044786004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasant Grove, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.