Active NPI
Zion Recovery Center Outpatient, LLC
- Addiction (Substance Use Disorder) Counselor
- Orem, UT
National Provider Identifier
1245659606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Legal business name
- ZION RECOVERY CENTER OUTPATIENT, LLC
- Practice address
- 360 W 920 N
Orem, UT 84057-3042 - Phone
- (626) 797-9977
- Fax
- (626) 844-2977
- NPI assigned
- Apr 14, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Matthew Jacobson
- Title
- Executive Director
- Phone
- (626) 797-9977
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary |
Addresses
Primary practice location
360 W 920 N
Orem, UT 84057-3042
Mailing address
4682 E Foxwood Dr
Eagle Mountain, UT 84005-6176
Phone (626) 797-9977
National Provider Directory
National Provider DirectoryLocations
360 W 920 N
Orem, UT 84057
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397433600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1397433600000",
"number": "1245659606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4682 E FOXWOOD DR",
"city": "EAGLE MOUNTAIN",
"state": "UT",
"postal_code": "840056176",
"telephone_number": "626-797-9977",
"fax_number": "626-844-2977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 W 920 N",
"city": "OREM",
"state": "UT",
"postal_code": "840573042",
"telephone_number": "626-797-9977",
"fax_number": "626-844-2977"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ZION RECOVERY CENTER OUTPATIENT, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-04-14",
"last_updated": "2014-04-14",
"status": "A",
"authorized_official_last_name": "JACOBSON",
"authorized_official_first_name": "MATTHEW",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "626-797-9977"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orem, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.