NPIMap

Organization Active NPI

Family Solutions Counseling

  • Clinical Social Worker
  • Logan, UT
National Provider Identifier
1073034823
Registry record updated Aug 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8229576-3501 Issued in UT
Legal business name
FAMILY SOLUTIONS COUNSELING
Practice address
115 Golf Course Rd
Logan, UT 84321-7704
Phone
(435) 799-5035
Fax
(435) 535-3782
NPI assigned
Jul 2, 2017
Last updated
Aug 19, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2020

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

Authorized official

Name
Anna Karyn Lacy Whisler, LCSWNPI 1184140345
Title
Manager
Phone
(435) 915-6777

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
Clinical Social Worker 1041C0700X 8229576-3501 UT Primary

Addresses

Primary practice location

115 Golf Course Rd
Logan, UT 84321-7704

Mailing address

523 N 750 E
Hyde Park, UT 84318-3357
Phone (435) 915-6777

Other practice location 1

664 N Main St Ste 203
Logan, UT 84321-6204
Phone (435) 915-6777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200824001193 UT Part B Supplier - Clinic/Group Practice 5496172389 Receives reassigned benefits from 14 practitioners
Practice locations: Logan, UT

National Provider Directory

National Provider Directory

Locations

115 Golf Course Rd
Logan, UT 84321
Phone (435) 279-6036

40 W Cache Valley Blvd
Ste 9B
Logan, UT 84341
Phone (435) 799-5035

664 N Main St
Ste 203
Logan, UT 84321
Phone (435) 915-6777

8783 S Redwood Rd
Ste C
West Jordan, UT 84088
Phone (435) 799-5035

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1498953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597795200000",
    "number": "1073034823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 N 750 E",
            "city": "HYDE PARK",
            "state": "UT",
            "postal_code": "843183357",
            "telephone_number": "435-915-6777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 GOLF COURSE RD",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843217704",
            "telephone_number": "435-799-5035",
            "fax_number": "435-535-3782"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "664 N Main St Ste 203",
            "address_purpose": "LOCATION",
            "city": "Logan",
            "state": "UT",
            "postal_code": "843216204",
            "country_code": "US",
            "telephone_number": "435-915-6777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FAMILY SOLUTIONS COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-02",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A",
        "authorized_official_last_name": "LACY WHISLER",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "KARYN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "435-915-6777",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "8229576-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Logan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.