NPIMap

Organization Active NPI

Jennifer Squire PC

  • Mental Health Counselor
  • Salt Lake City, UT
National Provider Identifier
1154699296
Registry record updated Dec 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
353202-3501 Issued in UT
Legal business name
JENNIFER SQUIRE PC
Practice address
7084 S 2300 E Ste 140
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Salt Lake City, UT 84121-3969
Phone
(801) 808-2410
NPI assigned
Dec 5, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2011

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

Authorized official

Name
Jennifer Squire
Title
President
Phone
(801) 808-2410

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 353202-3501 UT Primary

Addresses

Primary practice location

7084 S 2300 E Ste 140
Bmform,Bmformid,Bmuid,Bmisform,Bmprevtemplate,Bmtext,BM
Salt Lake City, UT 84121-3969

Mailing address

7084 S 2300 E Ste 140
Salt Lake City, UT 84121-3969

Other names 1

  • Center for Christian Therapy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Center for Christian Therapy2 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.

NPI Registry JSON

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

{
    "created_epoch": "1323043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323043200000",
    "number": "1154699296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7084 S 2300 E STE 140",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841213969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7084 S 2300 E STE 140",
            "address_2": "BMFORM,BMFORMID,BMUID,BMISFORM,BMPREVTEMPLATE,BMTEXT,BM",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841213969",
            "telephone_number": "801-808-2410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER SQUIRE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-05",
        "last_updated": "2011-12-05",
        "status": "A",
        "authorized_official_last_name": "SQUIRE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-808-2410"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "353202-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Christian Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 5, 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.