Mariah Rouse

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

1425 S 700 E Ste 102
Salt Lake City, UT 84105-2125

Phone

(385) 313-0055

NPI assigned

Jan 2, 2022

Last updated

Feb 23, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Red Willow Iop, PLLC

  dba Red Willow Counseling and Recovery

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Salt Lake City, UT
  • NPI 1477189900
  NPD

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

{
    "created_epoch": "1641081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1053072165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3826 E VIEWCREST DR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841243933",
            "telephone_number": "208-704-8784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 S 700 E STE 102",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841052125",
            "telephone_number": "385-313-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUSE",
        "first_name": "MARIAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-02",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evan M Roundy, DDS
• Jed R Roundy
• Margaret Roundy
• Teyhana Rounsavill, MD
• Judy Lynn Rountree-Benedict, RD
• Vanessa Roush, FDNP
• Emily Ferris Rousseau, LCSW
• Danielle Roussel
• Ann Rousselle, PH.D
• Gregory Darrell Rowan, D.P.M.

• Clinical Social Worker in Salt Lake City, UT
• Providers in Salt Lake City, 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 Feb 23, 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.