Active NPI
Tooele Valley Counseling PLLC
- Community/Behavioral Health Agency
- Tooele, UT
National Provider Identifier
1275136228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- TOOELE VALLEY COUNSELING PLLC
- Practice address
- 1244 N Main St Ste 202
Tooele, UT 84074-5009 - Phone
- (435) 850-7378
- Fax
- (435) 200-4364
- NPI assigned
- Nov 20, 2020
- 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
- Darci D Alston, LCMHW
- Title
- Sole Owner
- Phone
- (435) 850-7378
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
1244 N Main St Ste 202
Tooele, UT 84074-5009
Mailing address
28 N Main St Ste 1
Tooele, UT 84074-2139
Phone (435) 850-7378
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134559388 | Medicaid | UT | |
| 1629357132 | Medicaid | NY | |
| 1295027001 | Medicaid | UT |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://tooelevalleycounseling.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240702003726 | UT | Part B Supplier - Clinic/Group Practice | 5496299380 |
Receives reassigned benefits from 4 practitioners Practice locations: Tooele, UT |
National Provider Directory
National Provider DirectoryLocations
65 N Main St
Unit 582
Tooele, UT 84074
28 N Main St
Ste 1
Tooele, UT 84074
Phone (435) 850-7378
Practitioners & affiliated clinicians
Practitioners 4
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": "1605830400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1713916800000",
"number": "1275136228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 N MAIN ST STE 1",
"city": "TOOELE",
"state": "UT",
"postal_code": "840742139",
"telephone_number": "435-850-7378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1244 N MAIN ST STE 202",
"city": "TOOELE",
"state": "UT",
"postal_code": "840745009",
"telephone_number": "435-850-7378",
"fax_number": "435-200-4364"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOOELE VALLEY COUNSELING PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-11-20",
"last_updated": "2024-04-24",
"certification_date": "2024-04-24",
"status": "A",
"authorized_official_last_name": "ALSTON",
"authorized_official_first_name": "DARCI",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "SOLE OWNER",
"authorized_official_telephone_number": "435-850-7378",
"authorized_official_credential": "LCMHW"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1134559388",
"state": "UT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1629357132",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1295027001",
"state": "UT"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://tooelevalleycounseling.com",
"affiliation": "N",
"endpointDescription": "Website",
"address_1": "1244 N Main St Ste 202",
"city": "Tooele",
"state": "UT",
"country_code": "US",
"postal_code": "840745009",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Tooele, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.