Organization Active NPI

Velvet Counseling

  • Clinical Social Worker
  • Sandy, UT
National Provider Identifier
1053854166
Registry record updated Jan 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5125926-3501 Issued in UT
Legal business name
VELVET COUNSELING
Practice address
123 E Main St
Sandy, UT 84070-1509
Phone
(801) 709-9089
NPI assigned
Nov 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2017

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

Authorized official

Name
Velvet R. Staub, LCSW
Title
Clinical Director, Therapist
Phone
(801) 512-1463

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 5125926-3501 UT Primary

Addresses

Primary practice location

123 E Main St
Sandy, UT 84070-1509

Mailing address

123 E Main St
Sandy, UT 84070-1509
Phone (801) 709-9089

Other names 1

  • Velvet Counseling Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1479686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484611200000",
    "number": "1053854166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 E MAIN ST",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840701509",
            "telephone_number": "801-709-9089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 E MAIN ST",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840701509",
            "telephone_number": "801-709-9089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VELVET COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-21",
        "last_updated": "2017-01-17",
        "status": "A",
        "authorized_official_last_name": "STAUB",
        "authorized_official_first_name": "VELVET",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR, THERAPIST",
        "authorized_official_telephone_number": "801-512-1463",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "5125926-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Velvet Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sandy, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; 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.