Organization Active NPI

Choicepoint Therapeutic Services, LLC

  • Community/Behavioral Health Agency
  • Salt Lake City, UT
National Provider Identifier
1225254956
Registry record updated Apr 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
12126 Issued in UT
Legal business name
CHOICEPOINT THERAPEUTIC SERVICES, LLC
Practice address
1390 S 1100 E
Ste 203
Salt Lake City, UT 84105-2461
Phone
(801) 983-5700
NPI assigned
Apr 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2013

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

Authorized official

Name
Dr. M. Michelle Gourley, J.D., LCSW, MFT
Title
Owner
Phone
(801) 983-5700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 12126 UT Primary

Addresses

Primary practice location

1390 S 1100 E
Ste 203
Salt Lake City, UT 84105-2461

Mailing address

1390 S 1100 E
Ste 203
Salt Lake City, UT 84105-2461
Phone (801) 983-5700

National Provider Directory

National Provider Directory

Locations

1390 S 1100 E
Ste 203
Slc, UT 84105
Phone (801) 518-1720

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366070400000",
    "number": "1225254956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1390 S 1100 E",
            "address_2": "STE 203",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841052461",
            "telephone_number": "801-983-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1390 S 1100 E",
            "address_2": "STE 203",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841052461",
            "telephone_number": "801-983-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOICEPOINT THERAPEUTIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2013-04-16",
        "status": "A",
        "authorized_official_last_name": "GOURLEY",
        "authorized_official_first_name": "M.",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-983-5700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "J.D., LCSW, MFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "UT",
            "license": "12126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2013; 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.