NPIMap

Organization Active NPI

One- Eighty Out LLC

  • Community/Behavioral Health Agency
  • S Salt Lake, UT
National Provider Identifier
1114517943
Registry record updated Sep 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ONE- EIGHTY OUT LLC
Practice address
2872 S Highland Dr
S Salt Lake, UT 84106-3147
Phone
(801) 485-8051
NPI assigned
Jan 26, 2021
Last updated
Sep 24, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2021

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

Authorized official

Name
Brittany Randall, LCSWNPI 1558720979
Title
Owner
Phone
(801) 671-5990

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
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2872 S Highland Dr
S Salt Lake, UT 84106-3147

Mailing address

10935 N Highway 38
Deweyville, UT 84309-9737
Phone (801) 671-5990

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL brandall.ttcc@qlog.bestnotes.com

National Provider Directory

National Provider Directory

Locations

2148 N Hill Field Rd
Ste 5
Layton, UT 84041
Phone (405) 474-5885

331 S Rio Grande St
Ste 200
Salt Lake City, UT 84101
Phone (801) 485-8051

Practitioners & affiliated clinicians

Practitioners 13

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 13

NPI Registry JSON

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

{
    "created_epoch": "1611619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632441600000",
    "number": "1114517943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10935 N HIGHWAY 38",
            "city": "DEWEYVILLE",
            "state": "UT",
            "postal_code": "843099737",
            "telephone_number": "801-671-5990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2872 S HIGHLAND DR",
            "city": "S SALT LAKE",
            "state": "UT",
            "postal_code": "841063147",
            "telephone_number": "801-485-8051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE- EIGHTY OUT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-26",
        "last_updated": "2021-09-24",
        "certification_date": "2021-09-24",
        "status": "A",
        "authorized_official_last_name": "RANDALL",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-671-5990",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "brandall.ttcc@qlog.bestnotes.com",
            "affiliation": "N",
            "address_1": "2872 S Highland Dr",
            "city": "S Salt Lake",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841063147",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in S Salt Lake, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2021; 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.