NPIMap

Organization Active NPI

Assessment, Counseling, & Educational Services

  • Clinical Social Worker
  • Salt Lake City, UT
National Provider Identifier
1154614964
Registry record updated Jun 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6613419-3501 Issued in UT
Legal business name
ASSESSMENT, COUNSELING, & EDUCATIONAL SERVICES
Practice address
2970 S Main St Ste 200
Salt Lake City, UT 84115-6034
Phone
(801) 265-8000
Fax
(801) 265-8004
NPI assigned
May 26, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2011

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

Authorized official

Name
Mr. Isaac Michael Phillips, LCSW
Title
Associate Director, Therapist
Phone
(801) 265-8000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 6613419-3501 UT Primary

Addresses

Primary practice location

2970 S Main St Ste 200
Salt Lake City, UT 84115-6034

Mailing address

2970 S Main St Ste 200
Salt Lake City, UT 84115-6034
Phone (801) 265-8000

National Provider Directory

National Provider Directory
Tax ID family
Aces2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2970 S Main St
Ste 200
South Salt Lake, UT 84115
Phone (801) 265-8000

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": "1306368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309219200000",
    "number": "1154614964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2970 S MAIN ST STE 200",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841156034",
            "telephone_number": "801-265-8000",
            "fax_number": "801-265-8004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2970 S MAIN ST STE 200",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841156034",
            "telephone_number": "801-265-8000",
            "fax_number": "801-265-8004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSESSMENT, COUNSELING, & EDUCATIONAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-26",
        "last_updated": "2011-06-28",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "ISAAC",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "ASSOCIATE DIRECTOR, THERAPIST",
        "authorized_official_telephone_number": "801-265-8000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "6613419-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2011; 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.