Organization Active NPI

Random Angst Counseling

  • Clinical Social Worker
  • Midvale, UT
National Provider Identifier
1285497206
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
RANDOM ANGST COUNSELING
Practice address
75 E Fort Union Blvd Ste C151
Midvale, UT 84047-5517
Phone
(801) 503-6989
NPI assigned
Feb 1, 2024
Last updated
Feb 1, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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

Authorized official

Name
Justin BradyNPI 1053782698
Title
Owner
Phone
(801) 503-6989

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

75 E Fort Union Blvd Ste C151
Midvale, UT 84047-5517

Mailing address

75 E Fort Union Blvd Ste C151
Midvale, UT 84047-5517
Phone (801) 503-6989

National Provider Directory

National Provider Directory

Locations

75 E Fort Union Blvd
Ste C151
Midvale, UT 84047
Phone (801) 503-6989

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1706745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706745600000",
    "number": "1285497206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 E FORT UNION BLVD STE C151",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840475517",
            "telephone_number": "801-503-6989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 E FORT UNION BLVD STE C151",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840475517",
            "telephone_number": "801-503-6989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDOM ANGST COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-01",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A",
        "authorized_official_last_name": "BRADY",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-503-6989"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midvale, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.