Organization Active NPI

St. John Therapeutic Services Inc.

  • Mental Health Counselor
  • South Ogden, UT
National Provider Identifier
1104078229
Registry record updated Oct 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1437121357 Issued in UT
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

Updated by the provider on Oct 21, 2008

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 1437121357 UT Primary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.