Advanced Awareness Counseling, LLC.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

8173984-6009 Issued in UT

Legal business name

ADVANCED AWARENESS COUNSELING, LLC.

Practice address

4125 N Canyon Rd
Provo, UT 84604-5015

Phone

(408) 420-5730

NPI assigned

Jul 27, 2015

Last updated

Jul 27, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Elizabeth V Macias, JD

Title

Owner

Phone

(408) 420-5730

Specialties & licenses 2

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dustin E George

  • Clinical Social Worker
  • Sandy, UT
  • NPI 1770215535
  NPD (past)
• TJ Michael Harmon, CMHC

  • Mental Health Counselor
  • Sandy, UT
  • NPI 1801551577
  NPD (past)
• Marissa Elizabeth Sherman, M.S., CMHC, PCI

  • Mental Health Counselor
  • Sandy, UT
  • NPI 1568720472
  NPD (past)

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

{
    "created_epoch": "1437955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437955200000",
    "number": "1184009508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4141 S HIGHLAND DR",
            "address_2": "SUITE 208",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841242642",
            "telephone_number": "408-420-5730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4125 N CANYON RD",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846045015",
            "telephone_number": "408-420-5730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED AWARENESS COUNSELING, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-27",
        "last_updated": "2015-07-27",
        "status": "A",
        "authorized_official_last_name": "MACIAS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-420-5730",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "8173984-6009",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "UT",
            "license": "8173984-6009",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Provo, UT
• Providers in Provo, UT by specialty
• Mental Health Counselor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2015; 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.