NPIMap

Organization Active NPI

Circle of Life Counseling Center

  • Adolescent and Children Mental Health Clinic/Center
  • Lehi, UT
National Provider Identifier
1043688872
Registry record updated Sep 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
License
369760-6004 Issued in UT
Legal business name
CIRCLE OF LIFE COUNSELING CENTER
Practice address
3375 W Mayflower Way
Suite a
Lehi, UT 84043-3134
Phone
(801) 331-6775
NPI assigned
Sep 10, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2015

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

Authorized official

Name
Barbie Riccardelli
Title
Owner
Phone
(801) 331-6775

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X 369760-6004 UT Primary

Addresses

Primary practice location

3375 W Mayflower Way
Suite a
Lehi, UT 84043-3134

Mailing address

3375 W Mayflower Way
Suite a
Lehi, UT 84043-3134
Phone (801) 331-6775

National Provider Directory

National Provider Directory
Tax ID family
Circle of Life Counseling Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 4

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": "1441843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441843200000",
    "number": "1043688872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3375 W MAYFLOWER WAY",
            "address_2": "SUITE A",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840433134",
            "telephone_number": "801-331-6775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3375 W MAYFLOWER WAY",
            "address_2": "SUITE A",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840433134",
            "telephone_number": "801-331-6775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIRCLE OF LIFE COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-10",
        "last_updated": "2015-09-10",
        "status": "A",
        "authorized_official_last_name": "RICCARDELLI",
        "authorized_official_first_name": "BARBIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-331-6775"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "UT",
            "license": "369760-6004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehi, UT

Sources for this page

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