Organization Active NPI

Sequoia Family Therapy Services LLC

Doing business as Jellistherapy & Associates

  • Adult Mental Health Clinic/Center
  • Sandy, UT
National Provider Identifier
1023425931
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
SEQUOIA FAMILY THERAPY SERVICES LLC
Doing business as
Jellistherapy & Associates
Practice address
8180 S 700 E Ste 230
Sandy, UT 84070-0570
Phone
(385) 244-6927
NPI assigned
Jul 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2024

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

Authorized official

Name
John Darris Ellis, LMFTNPI 1750637393
Title
Owner/Therapist
Phone
(385) 244-6927

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 8449538-3904 UT
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

8180 S 700 E Ste 230
Sandy, UT 84070-0570

Mailing address

1913 S 1200 W
Syracuse, UT 84075-8812
Phone (385) 244-6927

Other practice location 1

1913 S 1200 W
Syracuse, UT 84075-8812
Phone (385) 244-6927

Other names 1

  • Jellistherapy & Associates Doing business as

National Provider Directory

National Provider Directory

Locations

940 N 400 E
#13
North Salt Lake, UT 84054

8180 S 700 E
Ste 230
Sandy, UT 84070
Phone (385) 244-6927

Practitioners & affiliated clinicians

Practitioners 1

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": "1405296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728604800000",
    "number": "1023425931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1913 S 1200 W",
            "city": "SYRACUSE",
            "state": "UT",
            "postal_code": "840758812",
            "telephone_number": "385-244-6927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8180 S 700 E STE 230",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840700570",
            "telephone_number": "385-244-6927"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1913 S 1200 W",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "UT",
            "postal_code": "840758812",
            "country_code": "US",
            "telephone_number": "385-244-6927",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SEQUOIA FAMILY THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-14",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "DARRIS",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "385-244-6927",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "UT",
            "license": "8449538-3904",
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jellistherapy & Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sandy, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.

Verify at the official NPI Registry.