Cottonwood Behavioral Counseling LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

COTTONWOOD BEHAVIORAL COUNSELING LLC

Practice address

6337 S Highland Dr # 227 Suite 227
Salt Lake City, UT 84121-8558

Phone

(385) 313-9001

NPI assigned

Jan 29, 2018

Organization subpart

No

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

Authorized official

Name

Walter Pera

Title

President

Phone

(801) 557-1154

Specialties & licenses 3

Addresses

Other names 2

• ABA Specialists Former legal business name
• Cottonwood Behavioral Counseling LLC Former legal business name

Locations

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

{
    "created_epoch": "1517184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539129600000",
    "number": "1194223867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6337 S HIGHLAND DR # 227",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841212107",
            "telephone_number": "385-313-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6337 S HIGHLAND DR # 227 SUITE 227",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841218558",
            "telephone_number": "385-313-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COTTONWOOD BEHAVIORAL COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-29",
        "last_updated": "2018-10-10",
        "status": "A",
        "authorized_official_last_name": "PERA",
        "authorized_official_first_name": "WALTER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-557-1154"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ABA Specialists",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Cottonwood Behavioral Counseling LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Daniel Rhead Cottam, M.D.
• Darrin Jon Cottle, PA-C
• Sara Elizabeth Cottle
• Jamie Lisbeth Cotton Joachin, RD
• Michael Brent Cotton, D.P.T
• Cottonwood Center for Counseling
• Cottonwood Creek MSL, LLC
• Cottonwood Endodontics PC
• Cottonwood Eye & Laser Clinic, P.C.
• Cottonwood Pediatric Dental

• Behavior Analyst in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Behavior Analyst in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2018; 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.