NPIMap

Organization Active NPI

Project Connection Utah

Doing business as Project Connection

  • Mental Health Counselor
  • Salt Lake City, UT
National Provider Identifier
1104392802
Registry record updated Oct 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
PROJECT CONNECTION UTAH
Doing business as
Project Connection
Practice address
2670 S 2000 E Ste 209
Salt Lake City, UT 84109-1783
Phone
(801) 633-6933
NPI assigned
Oct 19, 2018
Last updated
Oct 19, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2018

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

Authorized official

Name
Mrs. Lennie Nichols Knowlton, CMHCNPI 1629450713
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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Directory

Locations

2655 S Lake Erie Dr
Ste B
West Valley City, UT 84120
Phone (385) 441-4900

Practitioners & affiliated clinicians

Practitioners 43

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 43

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.

Verify at the official NPI Registry.