Synergism Counseling, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

SYNERGISM COUNSELING, LLC

Practice address

11075 S State St Ste 16
Sandy, UT 84070-5196

Phone

(801) 350-1671

Fax

(801) 446-6511

NPI assigned

Jun 15, 2011

Last updated

Sep 11, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Michelle H Greene, LCSWNPI 1508971276

Title

Owner/Therapist

Phone

(801) 350-1671

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Locations

Practitioners 3

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.

• Michelle H Greene, LCSW

  • Clinical Social Worker
  • Sandy, UT
  • NPI 1508971276
  Medicare reassignment NPD Authorized official
• Christine McLaws, AMFT

  • Mental Health Counselor
  • Heber City, UT
  • NPI 1689296352
  NPD
• Matthew Foutz, LCSW

  • Clinical Social Worker
  • Sandy, UT
  • NPI 1982403978
  NPD (past)

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

{
    "created_epoch": "1308096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536624000000",
    "number": "1124313481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1292",
            "city": "MIDWAY",
            "state": "UT",
            "postal_code": "840491292",
            "telephone_number": "801-350-1671",
            "fax_number": "801-446-6511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11075 S STATE ST STE 16",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840705196",
            "telephone_number": "801-350-1671",
            "fax_number": "801-446-6511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "425 E 1200 S Ste L4",
            "address_purpose": "LOCATION",
            "city": "Heber City",
            "state": "UT",
            "postal_code": "840323943",
            "country_code": "US",
            "telephone_number": "435-962-9335",
            "fax_number": "801-446-6511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SYNERGISM COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-15",
        "last_updated": "2018-09-11",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "801-350-1671",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Alan Swenson, R,PH.
• Christian Layne Sybrowsky, MD
• Heidi Nielson Sylvester, CPM
• Symbii Hospice LLC
• M. Jane Symkoviak
• T & R Pharmaceutical LLC (Jolleys Sandy Pharmacy)
• T Wright Psychiatry LLC
• Falekaono Tafisi
• Alyssa Tafuri
• Jerrica Tang, PHARMD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Sandy, UT
• Providers in Sandy, UT by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.