Organization Active NPI

Innovative Counseling

  • Community/Behavioral Health Agency
  • Salt Lake City, UT
National Provider Identifier
1295067189
Registry record updated Feb 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
7562489-0160 Issued in UT
Legal business name
INNOVATIVE COUNSELING
Practice address
5872 S 900 E
Ste 185
Salt Lake City, UT 84121-1676
Phone
(801) 347-0074
Fax
(801) 269-1226
NPI assigned
Feb 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2015

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

Authorized official

Name
Sylvia Brunisholz, LCSW
Title
Director
Phone
(801) 347-0074

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 7562489-0160 UT Primary

Addresses

Primary practice location

5872 S 900 E
Ste 185
Salt Lake City, UT 84121-1676

Mailing address

PO Box 12391
Ogden, UT 84412-2391

National Provider Directory

National Provider Directory

Locations

5872 S 900 E
#185
Murray, UT 84121
Phone (801) 347-0074

5872 S 900 E
Ste 185
Murray, UT 84121
Phone (801) 347-0074

855 E 4800 S
Ste 100
Salt Lake City, UT 84107
Phone (801) 265-1944

2040 E Murray Holladay Rd
Ste 211
Salt Lake City, UT 84117
Phone (801) 272-5083

595 N Bluff St
St George, UT 84770
Phone (801) 347-0074

Practitioners & affiliated clinicians

Practitioners 2

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": "1265155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424131200000",
    "number": "1295067189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12391",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844122391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5872 S 900 E",
            "address_2": "STE 185",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841211676",
            "telephone_number": "801-347-0074",
            "fax_number": "801-269-1226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-03",
        "last_updated": "2015-02-17",
        "status": "A",
        "authorized_official_last_name": "BRUNISHOLZ",
        "authorized_official_first_name": "SYLVIA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "801-347-0074",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "UT",
            "license": "7562489-0160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2015; 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.