Individual provider Active NPI

Julie Holbrook, AMFT

  • Marriage & Family Therapist
  • South Jordan, UT
National Provider Identifier
1245672641
Registry record updated Jul 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
8661487-3904 Issued in UT
Practice address
1258 W South Jordan Pkwy
South Jordan, UT 84095-4711
Phone
(801) 255-1155
NPI assigned
Jul 25, 2013
Last updated
Jul 25, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 8661487-3904 UT Primary

Addresses

Primary practice location

1258 W South Jordan Pkwy
South Jordan, UT 84095-4711

Mailing address

1258 W South Jordan Pkwy
South Jordan, UT 84095-4711
Phone (801) 255-1155

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241203003791 UT Practitioner - Marriage and Family Therapist 3274069075 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arcadia Counseling LLCGroup PAC ID 9335672955, 25 clinicians

Practice addresses (Care Compare)

170 S Interstate PLZ
Suite 100
Lehi, UT 84043-8601
Phone (385) 236-4500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8661487-3904UTMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Arcadia Counseling LLC Marriage & Family Therapist CurrentSince Sep 27, 2024 Accepting new patients
Suncrest Counseling Past Accepting new patients

Locations

170 S Interstate Plz
Ste 100
Lehi, UT 84043
Phone (385) 236-4500

360 S 670 W
Ste 100
Lindon, UT 84042
Phone (385) 236-4500

9490 S 300 W
Ste 100
Sandy, UT 84070
Phone (385) 236-4500

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1374710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374710400000",
    "number": "1245672641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1258 W SOUTH JORDAN PKWY",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840954711",
            "telephone_number": "801-255-1155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1258 W SOUTH JORDAN PKWY",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840954711",
            "telephone_number": "801-255-1155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLBROOK",
        "first_name": "JULIE",
        "credential": "AMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-25",
        "last_updated": "2013-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "UT",
            "license": "8661487-3904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Jordan, UT

Sources for this page

Verify at the official NPI Registry.