Organization Active NPI

Positive Presence Training Solutions, LLC.

  • Clinical Social Worker
  • Richfield, UT
National Provider Identifier
1154006989
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
POSITIVE PRESENCE TRAINING SOLUTIONS, LLC.
Practice address
635 N Main St Ste 687
Richfield, UT 84701-1895
Phone
(435) 274-7080
Fax
(435) 200-4567
NPI assigned
Jun 19, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Authorized official

Name
Cinnamon Holsclaw, LCSW, MAEDNPI 1558950709
Title
Ceo
Phone
(435) 275-7080

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
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

635 N Main St Ste 687
Richfield, UT 84701-1895

Mailing address

197 W 300 N
Richfield, UT 84701-2120
Phone (435) 274-7080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241014002184 UT Part B Supplier - Clinic/Group Practice 3678005824 Receives reassigned benefits from 1 practitioner
Practice locations: Richfield, UT

National Provider Directory

National Provider Directory

Locations

635 N Main St
Ste 687
Richfield, UT 84701
Phone (435) 274-7080

Practitioners & affiliated clinicians

Practitioners 2

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": "1687132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692144000000",
    "number": "1154006989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "197 W 300 N",
            "city": "RICHFIELD",
            "state": "UT",
            "postal_code": "847012120",
            "telephone_number": "435-274-7080",
            "fax_number": "435-200-4567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 N MAIN ST STE 687",
            "city": "RICHFIELD",
            "state": "UT",
            "postal_code": "847011895",
            "telephone_number": "435-274-7080",
            "fax_number": "435-200-4567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POSITIVE PRESENCE TRAINING SOLUTIONS, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-19",
        "last_updated": "2023-08-16",
        "certification_date": "2023-06-19",
        "status": "A",
        "authorized_official_last_name": "HOLSCLAW",
        "authorized_official_first_name": "CINNAMON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "435-275-7080",
        "authorized_official_credential": "LCSW, MAED"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richfield, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; 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.