Active NPI
Origins Counseling
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sandy, UT
National Provider Identifier
1255040606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- ORIGINS COUNSELING
- Practice address
- 11075 S State St Ste 36
Sandy, UT 84070-5188 - Phone
- (801) 440-8348
- NPI assigned
- Nov 15, 2022
- 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
- Kylee Hone
- Title
- Office Manager
- Phone
- (801) 440-8348
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
11075 S State St Ste 36
Sandy, UT 84070-5188
Mailing address
11075 S State St Ste 36
Sandy, UT 84070-5188
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346788171 | Other | UT | NPPES |
National Provider Directory
National Provider DirectoryLocations
11075 S State St
Ste 36
Sandy, UT 84070
Phone (801) 440-8348
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Sandy, UT
- NPI 1821652116
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668470400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1694476800000",
"number": "1255040606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11075 S STATE ST STE 36",
"city": "SANDY",
"state": "UT",
"postal_code": "840705188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11075 S STATE ST STE 36",
"city": "SANDY",
"state": "UT",
"postal_code": "840705188",
"telephone_number": "801-440-8348"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORIGINS COUNSELING",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-15",
"last_updated": "2023-09-12",
"certification_date": "2023-09-12",
"status": "A",
"authorized_official_last_name": "HONE",
"authorized_official_first_name": "KYLEE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "801-440-8348"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPPES",
"identifier": "1346788171",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sandy, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.