Active NPI
Utah Healing Center, PC
- Clinical Social Worker
- Murray, UT
National Provider Identifier
1033558697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- UTAH HEALING CENTER, PC
- Practice address
- 45 E Vine St
Murray, UT 84107-7904 - Phone
- (801) 266-4643
- Fax
- (801) 266-4775
- NPI assigned
- Jun 17, 2013
- 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
- Dr. Janelle Nimer, PH.D., LCSW
- Title
- Administrative Director
- Phone
- (801) 266-4643
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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Clinical Social Worker | 1041C0700X | Primary | ||
| Family Nurse Practitioner | 363LF0000X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
45 E Vine St
Murray, UT 84107-7904
Mailing address
45 E Vine St
Murray, UT 84107-7904
Phone (801) 266-4643
Other names 1
- 4 Healing Center
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | admin@4healingcenter.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150717002678 | UT | Part B Supplier - Clinic/Group Practice | 8325351414 |
Receives reassigned benefits from 2 practitioners Practice locations: Murray, UT |
National Provider Directory
National Provider DirectoryLocations
45 E Vine St
Salt Lake City, UT 84107
Phone (801) 266-4643
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Family Medicine Physician
- West Valley City, UT
- NPI 1154942985
Practitioners & affiliated clinicians
Practitioners 9
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Social Worker
- Murray, UT
- NPI 1992473672
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371427200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1599696000000",
"number": "1033558697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 E VINE ST",
"city": "MURRAY",
"state": "UT",
"postal_code": "841077904",
"telephone_number": "801-266-4643",
"fax_number": "801-266-4775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 E VINE ST",
"city": "MURRAY",
"state": "UT",
"postal_code": "841077904",
"telephone_number": "801-266-4643",
"fax_number": "801-266-4775"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UTAH HEALING CENTER, PC",
"organizational_subpart": "NO",
"enumeration_date": "2013-06-17",
"last_updated": "2020-09-10",
"certification_date": "2020-09-10",
"status": "A",
"authorized_official_last_name": "NIMER",
"authorized_official_first_name": "JANELLE",
"authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
"authorized_official_telephone_number": "801-266-4643",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D., LCSW"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "admin@4healingcenter.org",
"affiliation": "N",
"address_1": "45 E Vine St",
"city": "Murray",
"state": "UT",
"country_code": "US",
"postal_code": "841077904",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "4 Healing Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Murray, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.