NPIMap

Organization Active NPI

Circle of Life Counseling Center, LLC

  • Professional Counselor
  • Lehi, UT
National Provider Identifier
1114277001
Registry record updated Feb 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
139247-6004 Issued in UT
Legal business name
CIRCLE OF LIFE COUNSELING CENTER, LLC
Practice address
3375 Mayflower Way
Suite a
Lehi, UT 84043-3134
Phone
(801) 331-6775
Fax
(801) 766-2010
NPI assigned
Sep 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2024

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

Authorized official

Name
Carrie J Reall, M.ED., CMHC
Title
Clinical Director / Owner
Phone
(801) 331-6775

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 139247-6004 UT Primary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 6819342-6004 UT
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 5172018-3501 UT

Addresses

Primary practice location

3375 Mayflower Way
Suite a
Lehi, UT 84043-3134

Mailing address

3375 Mayflower Way
Suite a
Lehi, UT 84043-3134
Phone (801) 331-6775

National Provider Directory

National Provider Directory
Tax ID family
Circle of Life Counseling Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1347926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708646400000",
    "number": "1114277001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3375 MAYFLOWER WAY",
            "address_2": "SUITE A",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840433134",
            "telephone_number": "801-331-6775",
            "fax_number": "801-766-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3375 MAYFLOWER WAY",
            "address_2": "SUITE A",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840433134",
            "telephone_number": "801-331-6775",
            "fax_number": "801-766-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIRCLE OF LIFE COUNSELING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-18",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A",
        "authorized_official_last_name": "REALL",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR / OWNER",
        "authorized_official_telephone_number": "801-331-6775",
        "authorized_official_credential": "M.ED.,  CMHC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "UT",
            "license": "139247-6004",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "UT",
            "license": "6819342-6004",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "5172018-3501",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 23, 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.