Active NPI
Goat Path Counseling
- Mental Health Counselor
- Salt Lake City, UT
National Provider Identifier
1033592530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 49173766004
- Legal business name
- GOAT PATH COUNSELING
- Practice address
- 663 W 100 S
Suite B7
Salt Lake City, UT 84104-1002 - Phone
- (801) 416-3123
- NPI assigned
- Jul 1, 2015
- 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
- Jeannette Rodriguez-March, CMHC
- Title
- Owner / Clinician
- Phone
- (801) 414-8144
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 49173766004 | UT | Primary |
Addresses
Primary practice location
663 W 100 S
Suite B7
Salt Lake City, UT 84104-1002
Mailing address
663 W 100 S
Suite B7
Salt Lake City, UT 84104-1002
Phone (801) 416-3123
National Provider Directory
National Provider DirectoryLocations
663 W 100 S
Ste B7
Salt Lake City, UT 84104
Phone (801) 416-3123
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Salt Lake City, UT
- NPI 1922335892
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435708800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1435708800000",
"number": "1033592530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "663 W 100 S",
"address_2": "SUITE B7",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841041002",
"telephone_number": "801-416-3123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "663 W 100 S",
"address_2": "SUITE B7",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841041002",
"telephone_number": "801-416-3123"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOAT PATH COUNSELING",
"organizational_subpart": "NO",
"enumeration_date": "2015-07-01",
"last_updated": "2015-07-01",
"status": "A",
"authorized_official_last_name": "RODRIGUEZ-MARCH",
"authorized_official_first_name": "JEANNETTE",
"authorized_official_title_or_position": "OWNER / CLINICIAN",
"authorized_official_telephone_number": "801-414-8144",
"authorized_official_credential": "CMHC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "UT",
"license": "49173766004",
"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 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.