NPIMap

Organization Active NPI

Sequoia Counseling Services

  • Clinical Social Worker
  • Salt Lake City, UT
National Provider Identifier
1053583435
Registry record updated Sep 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
18922 Issued in UT
Legal business name
SEQUOIA COUNSELING SERVICES
Practice address
3378 South 900 East
Salt Lake City, UT 84106-2070
Phone
(801) 463-7520
Fax
(801) 463-7525
NPI assigned
Mar 26, 2008
Last updated
Sep 24, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2012

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

Authorized official

Name
Mr. Joseph Henry Tabish, L.C.S.W.NPI 1295903037
Title
Clinical Director
Phone
(801) 463-7520

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 134757 UT
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 13457 UT
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 18922 UT Primary

Addresses

Primary practice location

3378 South 900 East
Salt Lake City, UT 84106-2070

Mailing address

3378 South 900 East
Salt Lake City, UT 84106-2070
Phone (801) 463-7520

Other identifiers 2

IdentifierTypeStateIssuer
005569802OtherUTMEDICARE A
52836974304001OtherUTBLUE CROSS BLUE SHEILD

National Provider Directory

National Provider Directory

Locations

3378 S 900 E
Salt Lake Cty, UT 84106
Phone (385) 202-0071

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1206489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348444800000",
    "number": "1053583435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3378 SOUTH 900 EAST",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841062070",
            "telephone_number": "801-463-7520",
            "fax_number": "801-463-7525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3378 SOUTH 900 EAST",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841062070",
            "telephone_number": "801-463-7520",
            "fax_number": "801-463-7525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEQUOIA COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-26",
        "last_updated": "2012-09-24",
        "status": "A",
        "authorized_official_last_name": "TABISH",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "801-463-7520",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.C.S.W."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "UT",
            "license": "134757",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "13457",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "18922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE A",
            "identifier": "005569802",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "52836974304001",
            "state": "UT"
        }
    ],
    "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 Sep 24, 2012; 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.