NPIMap

Organization Active NPI

Mindful Life Recovery

  • Marriage & Family Therapist
  • North Salt Lake, UT
National Provider Identifier
1053808477
Registry record updated Apr 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
60127203902 Issued in UT
Legal business name
MINDFUL LIFE RECOVERY
Practice address
484 S Sunset Ridge Dr
North Salt Lake, UT 84054-0186
Phone
(801) 710-0780
NPI assigned
Apr 20, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2018

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

Authorized official

Name
Kamrin Carver, LMFT, CSATNPI 1013327352
Title
Owner/Clinical Director
Phone
(801) 710-0780

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X 60127203902 UT Primary

Addresses

Primary practice location

484 S Sunset Ridge Dr
North Salt Lake, UT 84054-0186

Mailing address

484 S Sunset Ridge Dr
North Salt Lake, UT 84054-0186
Phone (801) 710-0780

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1524182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524182400000",
    "number": "1053808477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "484 S SUNSET RIDGE DR",
            "city": "NORTH SALT LAKE",
            "state": "UT",
            "postal_code": "840540186",
            "telephone_number": "801-710-0780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "484 S SUNSET RIDGE DR",
            "city": "NORTH SALT LAKE",
            "state": "UT",
            "postal_code": "840540186",
            "telephone_number": "801-710-0780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL LIFE RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-20",
        "last_updated": "2018-04-20",
        "status": "A",
        "authorized_official_last_name": "CARVER",
        "authorized_official_first_name": "KAMRIN",
        "authorized_official_title_or_position": "OWNER/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "801-710-0780",
        "authorized_official_credential": "LMFT, CSAT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "UT",
            "license": "60127203902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Salt Lake, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2018; 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.