Well Life Counseling

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

WELL LIFE COUNSELING

Practice address

4578 S Highland Dr
Millcreek, UT 84117-4243

Phone

(801) 864-6767

NPI assigned

Oct 10, 2023

Organization subpart

No

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

Authorized official

Name

Susan Horne, LCSWNPI 1750904009

Title

Therapist/Billing Manager

Phone

(801) 864-6767

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.

• Susan Horne, CSW

  • Clinical Social Worker
  • Salt Lake City, UT
  • NPI 1750904009
  NPD Authorized official

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

{
    "created_epoch": "1696896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696896000000",
    "number": "1043091697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 E 3150 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841063462",
            "telephone_number": "801-864-6767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4578 S HIGHLAND DR",
            "city": "MILLCREEK",
            "state": "UT",
            "postal_code": "841174243",
            "telephone_number": "801-864-6767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELL LIFE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-10",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A",
        "authorized_official_last_name": "HORNE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "THERAPIST/BILLING MANAGER",
        "authorized_official_telephone_number": "801-864-6767",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Millcreek, UT
• Providers in Millcreek, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; 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.