Organization Active NPI

Tooele Valley Counseling PLLC

  • Community/Behavioral Health Agency
  • Tooele, UT
National Provider Identifier
1275136228
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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

Updated by the provider on Apr 24, 2024

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

Authorized official

Name
Darci D Alston, LCMHWNPI 1629357132
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1134559388MedicaidUT
1629357132MedicaidNY
1295027001MedicaidUT

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://tooelevalleycounseling.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240702003726 UT Part B Supplier - Clinic/Group Practice 5496299380 Receives reassigned benefits from 4 practitioners
Practice locations: Tooele, UT

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.