9-Line Counseling, PLLC
Organization Active NPI Clinical Social Worker · Lehi, UT
NPI 1144918012 · NPPES record last updated May 3, 2023
Key facts
- NPI
- 1144918012
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Legal business name
- 9-LINE COUNSELING, PLLC
- Practice address
- 2940 W Maple Loop Dr Ste 303D
Lehi, UT 84043-6036 - Phone
- (801) 380-3581
- NPI assigned
- Apr 27, 2023
- Organization subpart
- No
Authorized official
- Name
- William Russell, LCSW
- Title
- Owner
- Phone
- (801) 380-3581
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230707001311 | UT | Part B Supplier - Clinic/Group Practice | 2860851946 |
Receives reassigned benefits from 1 practitioner Practice locations: Lehi, UT |
National Provider Directory
Locations
2940 W Maple Loop Dr
Ste 303D
Lehi, UT 84048
Phone (801) 380-3581
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | Yes |
Addresses
Primary practice location
2940 W Maple Loop Dr Ste 303D
Lehi, UT 84043-6036
Mailing address
2940 W Maple Loop Dr Ste 303D
Lehi, UT 84043-6036
Phone (801) 380-3581
Other providers in Lehi, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 3, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.