Organization Active NPI

Blackfoot Consulting Inc

  • Mental Health Counselor
  • Ogden, UT
National Provider Identifier
1194260117
Registry record updated Dec 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
BLACKFOOT CONSULTING INC
Practice address
955 28TH St
Ogden, UT 84403-0258
Phone
(385) 244-1470
Fax
(385) 244-1499
NPI assigned
Dec 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2016

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

Authorized official

Name
Mr. Richard T Jensen, LCMHC
Title
Officer/Owner
Phone
(801) 791-5041

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X UT Primary

Addresses

Primary practice location

955 28TH St
Ogden, UT 84403-0258

Mailing address

955 28TH St
Ogden, UT 84403-0258
Phone (385) 244-1470

Other identifiers 1

IdentifierTypeStateIssuer
1346659737OtherUTNPI

National Provider Directory

National Provider Directory

Locations

955 28th St
Ogden, UT 84403
Phone (385) 244-1470

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1482969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482969600000",
    "number": "1194260117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 28TH ST",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844030258",
            "telephone_number": "385-244-1470",
            "fax_number": "385-244-1499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 28TH ST",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844030258",
            "telephone_number": "385-244-1470",
            "fax_number": "385-244-1499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACKFOOT CONSULTING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-29",
        "last_updated": "2016-12-29",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OFFICER/OWNER",
        "authorized_official_telephone_number": "801-791-5041",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1346659737",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2016; 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.