Cottonwood Professional Coaching LLC

Primary specialty

Corporate Health Clinic/CenterTaxonomy code 261QC1800X

Legal business name

COTTONWOOD PROFESSIONAL COACHING LLC

Practice address

177 E 900 S
Salt Lake City, UT 84111-4251

Phone

(855) 489-6176

NPI assigned

Nov 12, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Edwin B Winkworth III, CMHCNPI 1548762990

Title

Owner

Phone

(801) 516-9123

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Edwin Winkworth III, ACMHC

  • Mental Health Counselor
  • Salt Lake City, UT
  • NPI 1548762990
  NPD Authorized official

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

{
    "created_epoch": "1731369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731369600000",
    "number": "1124842547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3620 S CHRISTINE ST",
            "city": "MILLCREEK",
            "state": "UT",
            "postal_code": "841062038",
            "telephone_number": "801-516-9123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 E 900 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841114251",
            "telephone_number": "855-489-6176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COTTONWOOD PROFESSIONAL COACHING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-12",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A",
        "authorized_official_last_name": "WINKWORTH",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-516-9123",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "CMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Corporate Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cottonwood Creek MSL, LLC
• Cottonwood Endodontics PC
• Cottonwood Eye & Laser Clinic, P.C.
• Cottonwood Pediatric Dental
• Cottonwood Pediatric Dentistry
• Courtland Glen Cottrell, D.D.S.
• Criste Cottrell
• Noelle Cottrell
• Danielle Lavoie Cottrill
• Logan James Couce, DPT

• Corporate Health Clinic/Center in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Corporate Health Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.