NPIMap

Organization Active NPI

Millcreek Counseling & Adoption Services, Inc.

  • Clinical Social Worker
  • Holladay, UT
National Provider Identifier
1235800210
Registry record updated Sep 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MILLCREEK COUNSELING & ADOPTION SERVICES, INC.
Practice address
4625 S 2300 E Ste 211
Holladay, UT 84117-4582
Phone
(801) 865-1453
NPI assigned
Sep 21, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2021

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

Authorized official

Name
Patricia Smith
Title
Office Manager
Phone
(801) 865-1453

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X

Addresses

Primary practice location

4625 S 2300 E Ste 211
Holladay, UT 84117-4582

Mailing address

4625 S 2300 E Ste 211
Holladay, UT 84117-4582
Phone (801) 865-1453

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL contactus@millcreek-counseling.com Direct

National Provider Directory

National Provider Directory

Locations

4625 S 2300 E
Ste 211
Salt Lake City, UT 84117
Phone (801) 865-1453

Practitioners & affiliated clinicians

Practitioners 3

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": "1632182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632182400000",
    "number": "1235800210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4625 S 2300 E STE 211",
            "city": "HOLLADAY",
            "state": "UT",
            "postal_code": "841174582",
            "telephone_number": "801-865-1453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4625 S 2300 E STE 211",
            "city": "HOLLADAY",
            "state": "UT",
            "postal_code": "841174582",
            "telephone_number": "801-865-1453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLCREEK COUNSELING & ADOPTION SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-21",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "801-865-1453"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "contactus@millcreek-counseling.com",
            "affiliation": "N",
            "endpointDescription": "Business Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "4625 S 2300 E Ste 211",
            "city": "Holladay",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841174582",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Holladay, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2021; 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.