Organization Active NPI

Conscious Living Counseling Center

Doing business as Peaceful Harbor Therapy

  • Mental Health Counselor
  • Lehi, UT
National Provider Identifier
1104673110
Registry record updated Jul 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CONSCIOUS LIVING COUNSELING CENTER
Doing business as
Peaceful Harbor Therapy
Practice address
1420 Westbury Way Apt J
Lehi, UT 84043-4763
Phone
(385) 208-2746
NPI assigned
May 6, 2024
Last updated
Jul 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2024

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

Authorized official

Name
Gerald Baird, LCMHCNPI 1063070647
Title
Owner
Phone
(385) 279-5350

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 Counselor 101YM0800X NU Primary

Addresses

Primary practice location

1420 Westbury Way Apt J
Lehi, UT 84043-4763

Mailing address

1420 Westbury Way Apt J
Lehi, UT 84043-4763
Phone (385) 208-2746

Other names 1

  • Peaceful Harbor Therapy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1714953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721433600000",
    "number": "1104673110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 WESTBURY WAY APT J",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840434763",
            "telephone_number": "385-208-2746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 WESTBURY WAY APT J",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840434763",
            "telephone_number": "385-208-2746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSCIOUS LIVING COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-06",
        "last_updated": "2024-07-20",
        "certification_date": "2024-07-20",
        "status": "A",
        "authorized_official_last_name": "BAIRD",
        "authorized_official_first_name": "GERALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "385-279-5350",
        "authorized_official_credential": "LCMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peaceful Harbor Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lehi, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2024; 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.