Salt Lake Therapy Collective

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

SALT LAKE THERAPY COLLECTIVE

Practice address

311 S 900 E Ste 103
Salt Lake City, UT 84102-2491

Phone

(385) 262-4048

NPI assigned

Aug 18, 2020

Organization subpart

No

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

Authorized official

Name

Kate Hairline

Title

Owner

Phone

(385) 262-4048

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kate Kelly Harline Andelin, LCSW

  • Clinical Social Worker
  • Salt Lake City, UT
  • NPI 1144782558
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597708800000",
    "number": "1033721394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 E SOUTH TEMPLE APT 10C",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841021274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 S 900 E STE 103",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841022491",
            "telephone_number": "385-262-4048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALT LAKE THERAPY COLLECTIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-18",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A",
        "authorized_official_last_name": "HAIRLINE",
        "authorized_official_first_name": "KATE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "385-262-4048"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Salt Lake Transportation Co., LLC
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• Salt Lake Weight Counseling

• Counselor in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Counselor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; 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.