Organization Active NPI

Blue Sands Counseling, LLC

  • Community/Behavioral Health Agency
  • Layton, UT
National Provider Identifier
1184918849
Registry record updated May 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
48971473501 Issued in UT
Legal business name
BLUE SANDS COUNSELING, LLC
Practice address
2363 N Hill Field Rd
Suite 5
Layton, UT 84041-6909
Phone
(801) 513-6866
Fax
(801) 728-4516
NPI assigned
May 30, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2011

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

Authorized official

Name
Rebecca Burgert, LCSW
Title
Therapist
Phone
(801) 513-6866

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 48971473501 UT Primary

Addresses

Primary practice location

2363 N Hill Field Rd
Suite 5
Layton, UT 84041-6909

Mailing address

2363 N Hill Field Rd
Suite 5
Layton, UT 84041-6909
Phone (801) 513-6866

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1306713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306713600000",
    "number": "1184918849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2363 N HILL FIELD RD",
            "address_2": "SUITE 5",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840416909",
            "telephone_number": "801-513-6866",
            "fax_number": "801-728-4516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2363 N HILL FIELD RD",
            "address_2": "SUITE 5",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840416909",
            "telephone_number": "801-513-6866",
            "fax_number": "801-728-4516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE SANDS COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-30",
        "last_updated": "2011-05-30",
        "status": "A",
        "authorized_official_last_name": "BURGERT",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "801-513-6866",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "UT",
            "license": "48971473501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Layton, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.