Active NPI
Douglas Wendt Counseling LLC
- Clinical Social Worker
- Provo, UT
National Provider Identifier
1013735323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- DOUGLAS WENDT COUNSELING LLC
- Practice address
- 1869 N 1120 W
Provo, UT 84604-1180 - Phone
- (385) 273-7250
- NPI assigned
- Sep 26, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tanner Moffat, CSW
- Title
- Associate
- Phone
- (442) 207-8625
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
1869 N 1120 W
Provo, UT 84604-1180
Mailing address
1869 N 1120 W
Provo, UT 84604-1180
Phone (385) 273-7250
Other names 1
- Arise Counseling
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727308800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727308800000",
"number": "1013735323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1869 N 1120 W",
"city": "PROVO",
"state": "UT",
"postal_code": "846041180",
"telephone_number": "385-273-7250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1869 N 1120 W",
"city": "PROVO",
"state": "UT",
"postal_code": "846041180",
"telephone_number": "385-273-7250"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOUGLAS WENDT COUNSELING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-26",
"last_updated": "2024-09-26",
"certification_date": "2024-09-26",
"status": "A",
"authorized_official_last_name": "MOFFAT",
"authorized_official_first_name": "TANNER",
"authorized_official_title_or_position": "ASSOCIATE",
"authorized_official_telephone_number": "442-207-8625",
"authorized_official_credential": "CSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Arise Counseling",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Provo, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.