Station Park Counseling

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

8677094-3902 Issued in UT

Legal business name

STATION PARK COUNSELING

Practice address

240 N East Promontory
200
Farmington, UT 84025-2950

Phone

(801) 907-1095

NPI assigned

Jan 12, 2016

Organization subpart

No

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

Authorized official

Name

Brian Besitline

Title

LMFT

Phone

(801) 824-5210

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1452556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452556800000",
    "number": "1235595810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 N EAST PROMONTORY",
            "address_2": "200",
            "city": "FARMINGTON",
            "state": "UT",
            "postal_code": "840252950",
            "telephone_number": "801-907-1095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 N EAST PROMONTORY",
            "address_2": "200",
            "city": "FARMINGTON",
            "state": "UT",
            "postal_code": "840252950",
            "telephone_number": "801-907-1095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATION PARK COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-12",
        "last_updated": "2016-01-12",
        "status": "A",
        "authorized_official_last_name": "BESITLINE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "LMFT",
        "authorized_official_telephone_number": "801-824-5210"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "UT",
            "license": "8677094-3902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "13639489",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• South Davis Psychological Services
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• Rachelle Andersen Spurlin, FNP-C
• Station Park Dental
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• McKenzie Elise Stenberg, PA-C
• Jacob Patrick Stephenson, D.O.
• Stettler Medical Monitoring, LCC

• Marriage & Family Therapist in Farmington, UT
• Providers in Farmington, UT by specialty
• Marriage & Family Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.