James Kevin Ott, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

116648-3501 Issued in UT

Practice address

1425 S 700 E Ste 102
Salt Lake City, UT 84105-2125

Phone

(801) 556-6007

NPI assigned

Nov 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Red Willow Iop, PLLC

  dba Red Willow Counseling and Recovery

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Salt Lake City, UT
  • NPI 1477189900
  NPD Authorized official
• Red Willow Counseling and Recovery

  • Community/Behavioral Health Agency
  • Salt Lake City, UT
  • NPI 1295147486
  NPD (past) Authorized official

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592784000000",
    "number": "1295807378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 S 700 E STE 102",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841052125",
            "telephone_number": "801-556-6007",
            "fax_number": "801-410-4405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 S 700 E STE 102",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841052125",
            "telephone_number": "801-556-6007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTT",
        "first_name": "JAMES",
        "middle_name": "KEVIN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2020-06-22",
        "certification_date": "2020-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "116648-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannalee Otanez, LCSW
• Marimar Otero-Rojas, AGNP
• Genesis Othon
• Diana Otoya, MD
• Otr Therapeutic Services, PLLC
• John Jeffrey Ott, AUD
• William Daniel Livingston Ott
• Aloe Otte
• Marie Otterness
• Emily Ann Otterstom

• Clinical Social Worker in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2020; 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.