Active NPI
St. John Therapeutic Services Inc.
- Mental Health Counselor
- South Ogden, UT
National Provider Identifier
1104078229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 1437121357
- Legal business name
- ST. JOHN THERAPEUTIC SERVICES INC.
- Practice address
- 555 E 5300 S
Suite 6
South Ogden, UT 84405-4509 - Phone
- (801) 621-5385
- NPI assigned
- Oct 21, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Frank J Mercik
- Title
- Ceo
- Phone
- (801) 621-5385
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 1437121357 | UT | Primary |
| Mental Health Counselor | 101YM0800X | 264211-3501 | UT |
Addresses
Primary practice location
555 E 5300 S
Suite 6
South Ogden, UT 84405-4509
Mailing address
555 E 5300 S
Suite 6
South Ogden, UT 84405-4509
Phone (801) 621-5385
National Provider Directory
National Provider DirectoryLocations
555 E 5300 S
Ste 6
South Ogden, UT 84405
Phone (801) 621-5385
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Ogden, UT
- NPI 1437121357
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224547200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1224547200000",
"number": "1104078229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 E 5300 S",
"address_2": "SUITE 6",
"city": "SOUTH OGDEN",
"state": "UT",
"postal_code": "844054509",
"telephone_number": "801-621-5385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 E 5300 S",
"address_2": "SUITE 6",
"city": "SOUTH OGDEN",
"state": "UT",
"postal_code": "844054509",
"telephone_number": "801-621-5385"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST. JOHN THERAPEUTIC SERVICES INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-21",
"last_updated": "2008-10-21",
"status": "A",
"authorized_official_last_name": "MERCIK",
"authorized_official_first_name": "FRANK",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "801-621-5385",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "UT",
"license": "1437121357",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "UT",
"license": "264211-3501",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Ogden, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.