Organization Active NPI

Trails to Wellness Counseling Center, Inc.

  • Clinical Social Worker
  • Murray, UT
National Provider Identifier
1073203204
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
TRAILS TO WELLNESS COUNSELING CENTER, INC.
Practice address
5411 S Vine St Unit 6
Murray, UT 84107-7746
Phone
(435) 669-3811
NPI assigned
May 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

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

Authorized official

Name
Mrs. Adrianne Annette Durrant, LCSWNPI 1114508470
Title
Owner
Phone
(435) 669-3811

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 WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

5411 S Vine St Unit 6
Murray, UT 84107-7746

Mailing address

296 W 400 N
American Fork, UT 84003-1567
Phone (435) 669-3811

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231222000315 UT Part B Supplier - Clinic/Group Practice 3274983879 Receives reassigned benefits from 1 practitioner
Practice locations: Murray, UT

National Provider Directory

National Provider Directory

Locations

5882 S 900 E
Ste 103
Murray, UT 84121
Phone (385) 462-6148

5784 S 900 E
Unit 8
Murray, UT 84121
Phone (435) 669-3811

5411 S Vine St
Unit 6
Salt Lake City, UT 84107
Phone (435) 625-1717

Practitioners & affiliated clinicians

Practitioners 2

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": "1683676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688601600000",
    "number": "1073203204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "296 W 400 N",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840031567",
            "telephone_number": "435-669-3811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5411 S VINE ST UNIT 6",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841077746",
            "telephone_number": "435-669-3811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAILS TO WELLNESS COUNSELING CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-10",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A",
        "authorized_official_last_name": "DURRANT",
        "authorized_official_first_name": "ADRIANNE",
        "authorized_official_middle_name": "ANNETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-669-3811",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; 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.