Organization Active NPI

White Sage Recovery, Inc.

  • Substance Abuse Rehabilitation Facility
  • Pleasant Grove, UT
National Provider Identifier
1124593108
Registry record updated Oct 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
WHITE SAGE RECOVERY, INC.
Practice address
533 W Center St
Pleasant Grove, UT 84062-2215
Phone
(801) 899-2460
Fax
(801) 899-2459
NPI assigned
Oct 5, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2018

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

Authorized official

Name
Catherine Collins, APRNNPI 1568960250
Title
Executive Director
Phone
(801) 885-6341

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
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

533 W Center St
Pleasant Grove, UT 84062-2215

Mailing address

533 W Center St
Pleasant Grove, UT 84062-2215
Phone (801) 899-2460

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
46D2155326White Sage Recovery, Inc533 W Center St, Pleasant Grove, UT 84062Certificate of waiverSep 26, 2026

National Provider Directory

National Provider Directory

Locations

533 W Center St
Pleasant Grove, UT 84062
Phone (801) 899-2460

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1538697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538697600000",
    "number": "1124593108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 W CENTER ST",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840622215",
            "telephone_number": "801-899-2460",
            "fax_number": "801-899-2459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 W CENTER ST",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840622215",
            "telephone_number": "801-899-2460",
            "fax_number": "801-899-2459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE SAGE RECOVERY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-05",
        "last_updated": "2018-10-05",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "801-885-6341",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasant Grove, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.