NPIMap

Organization Active NPI

Carbajal Counseling and Consulting, LLC

  • Marriage & Family Therapist
  • Kaysville, UT
National Provider Identifier
1053994897
Registry record updated Sep 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
CARBAJAL COUNSELING AND CONSULTING, LLC
Practice address
375 N Main St Ste 102
Kaysville, UT 84037-1272
Phone
(801) 989-3488
Fax
(801) 989-5861
NPI assigned
Apr 29, 2021
Last updated
Sep 18, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2021

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

Authorized official

Name
Stephanie Carbajal, LMFT, RPTNPI 1114186202
Title
Member
Phone
(801) 989-3317

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
Mental Health Counselor 101YM0800X
Social Worker 104100000X
Marriage & Family Therapist 106H00000X Primary

Addresses

Primary practice location

375 N Main St Ste 102
Kaysville, UT 84037-1272

Mailing address

375 N Main St Ste 102
Kaysville, UT 84037-1272
Phone (801) 989-3488

Other practice location 1

2317 N Hill Field Rd Ste 103
Layton, UT 84041-4782
Phone (801) 989-3488

National Provider Directory

National Provider Directory

Locations

375 N Main St
Ste 102
Kaysville, UT 84037
Phone (385) 324-6838

Practitioners & affiliated clinicians

Practitioners 9

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": "1619654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631923200000",
    "number": "1053994897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 N MAIN ST STE 102",
            "city": "KAYSVILLE",
            "state": "UT",
            "postal_code": "840371272",
            "telephone_number": "801-989-3488",
            "fax_number": "801-989-5861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 N MAIN ST STE 102",
            "city": "KAYSVILLE",
            "state": "UT",
            "postal_code": "840371272",
            "telephone_number": "801-989-3488",
            "fax_number": "801-989-5861"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2317 N Hill Field Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Layton",
            "state": "UT",
            "postal_code": "840414782",
            "country_code": "US",
            "telephone_number": "801-989-3488",
            "fax_number": "801-989-5861",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CARBAJAL COUNSELING AND CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-29",
        "last_updated": "2021-09-18",
        "certification_date": "2021-09-18",
        "status": "A",
        "authorized_official_last_name": "CARBAJAL",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "801-989-3317",
        "authorized_official_credential": "LMFT, RPT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kaysville, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2021; 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.