Organization Active NPI

Goat Path Counseling

  • Mental Health Counselor
  • Salt Lake City, UT
National Provider Identifier
1033592530
Registry record updated Jul 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
49173766004 Issued in UT
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

Updated by the provider on Jul 1, 2015

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.