Active NPI
Project Connection Utah
- Mental Health Counselor
- Salt Lake City, UT
National Provider Identifier
1104392802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- PROJECT CONNECTION UTAH
- Practice address
- 2670 S 2000 E Ste 209
Salt Lake City, UT 84109-1783 - Phone
- (801) 633-6933
- NPI assigned
- Oct 19, 2018
- 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
- Mrs. Lennie Nichols Knowlton, CMHC
- Title
- Executive Director
- Phone
- (801) 633-6933
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
2670 S 2000 E Ste 209
Salt Lake City, UT 84109-1783
Mailing address
2670 S 2000 E Ste 209
Salt Lake City, UT 84109-1783
Phone (801) 633-6933
Other names 1
- Project Connection
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240906003996 | UT | Part B Supplier - Clinic/Group Practice | 1052851847 |
Receives reassigned benefits from 9 practitioners Practice locations: West Valley City, UT |
National Provider Directory
National Provider DirectoryLocations
2655 S Lake Erie Dr
West Valley City, UT 84120
Phone (385) 441-4900
Practitioners & affiliated clinicians
Practitioners 48
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Salt Lake City, UT
- NPI 1124224043
-
- Social Worker
- West Valley City, UT
- NPI 1336722271
-
- Respite Care
- West Valley, UT
- NPI 1063139673
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539907200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1539907200000",
"number": "1104392802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2670 S 2000 E STE 209",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841091783",
"telephone_number": "801-633-6933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2670 S 2000 E STE 209",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841091783",
"telephone_number": "801-633-6933"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROJECT CONNECTION UTAH",
"organizational_subpart": "NO",
"enumeration_date": "2018-10-19",
"last_updated": "2018-10-19",
"status": "A",
"authorized_official_last_name": "KNOWLTON",
"authorized_official_first_name": "LENNIE",
"authorized_official_middle_name": "NICHOLS",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "801-633-6933",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "CMHC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Project Connection",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2018; 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.