Connected Life Counseling Center, LLC

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

CONNECTED LIFE COUNSELING CENTER, LLC

Practice address

741 E 9000 S Ste 200D
Sandy, UT 84094-3085

Phone

(801) 903-1276

NPI assigned

Sep 28, 2017

Last updated

Sep 28, 2017By 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. Rebekah Schuler, CMHCNPI 1912434374

Title

Owner, Therapist

Phone

(801) 903-1276

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Rebekah Schuler, CMHC

  • Mental Health Counselor
  • Sandy, UT
  • NPI 1912434374
  NPD (past) Authorized official

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

{
    "created_epoch": "1506556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506556800000",
    "number": "1184133571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8835 S PINION LN",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840889264",
            "telephone_number": "801-694-9306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "741 E 9000 S STE 200D",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840943085",
            "telephone_number": "801-903-1276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTED LIFE COUNSELING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-28",
        "last_updated": "2017-09-28",
        "status": "A",
        "authorized_official_last_name": "SCHULER",
        "authorized_official_first_name": "REBEKAH",
        "authorized_official_title_or_position": "OWNER, THERAPIST",
        "authorized_official_telephone_number": "801-903-1276",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adolescent and Children Mental Health Clinic/Center in Sandy, UT
• Providers in Sandy, UT by specialty
• Adolescent and Children Mental Health Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2017; 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.