Active NPI
Alpine Center for Personal Growth LLC
- Substance Use Disorder Rehabilitation Clinic/Center
- Salt Lake City, UT
National Provider Identifier
1023461415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- License
- 27867
- Legal business name
- ALPINE CENTER FOR PERSONAL GROWTH LLC
- Practice address
- 5689 S Redwood Rd
Suite 30
Salt Lake City, UT 84123-5447 - Phone
- (801) 268-1715
- Fax
- (801) 268-1783
- NPI assigned
- Jul 20, 2016
- 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
- Amanda Kendzior
- Title
- Ceo
- Phone
- (801) 268-1715
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | 27567 | UT | |
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | 27867 | UT | Primary |
Addresses
Primary practice location
5689 S Redwood Rd
Suite 30
Salt Lake City, UT 84123-5447
Mailing address
5689 S Redwood Rd
Suite 30
Salt Lake City, UT 84123-5447
Phone (801) 268-1715
National Provider Directory
National Provider Directory- Tax ID family
- Alpine Center for Personal Growth
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Social Worker
- Salt Lake City, UT
- NPI 1730366758
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468972800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785369600000",
"number": "1023461415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5689 S REDWOOD RD",
"address_2": "SUITE 30",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841235447",
"telephone_number": "801-268-1715",
"fax_number": "801-268-1783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5689 S REDWOOD RD",
"address_2": "SUITE 30",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841235447",
"telephone_number": "801-268-1715",
"fax_number": "801-268-1783"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALPINE CENTER FOR PERSONAL GROWTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-07-20",
"last_updated": "2026-07-30",
"certification_date": "2026-07-30",
"status": "A",
"authorized_official_last_name": "KENDZIOR",
"authorized_official_first_name": "AMANDA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "801-268-1715"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": "UT",
"license": "27567",
"primary": false
},
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": "UT",
"license": "27867",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.