NPIMap

Organization Active NPI

Clinical Consultants Limited Liability Company

  • Substance Use Disorder Rehabilitation Clinic/Center
  • West Jordan, UT
National Provider Identifier
1306010574
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
16640 Issued in UT
Legal business name
CLINICAL CONSULTANTS LIMITED LIABILITY COMPANY
Practice address
7601 South Redwood Road
Building E
West Jordan, UT 84084-9323
Phone
(801) 233-8670
Fax
(801) 233-8682
NPI assigned
Apr 17, 2008
Last updated
Nov 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

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

Authorized official

Name
Michael Vredenburg
Title
Administrative Coordinator
Phone
(801) 233-8670

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 16640 UT
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 16640 UT Primary
Clinical Medical Laboratory 291U00000X NU
Assisted Living Facility (Mental Illness) 3104A0625X NU
Family Medicine Physician 207Q00000X NU

Addresses

Primary practice location

7601 South Redwood Road
Building E
West Jordan, UT 84084-9323

Mailing address

7601 S Redwood Rd BLDG E
West Jordan, UT 84084-4007
Phone (801) 233-8670

Other practice location 1

1001 N Featherstone Dr
Salt Lake City, UT 84116-1522
Phone (385) 500-2786

Other practice location 2

2661 Washington Blvd Ste 102
Ogden, UT 84401-3606
Phone (801) 621-8670

Other practice location 3

754 N Main St
Tooele, UT 84074-1612
Phone (435) 228-6523

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
46D2173985Clinical Consultants, LLC2661 Washington Blvd, Ste 102, Ogden, UT 84401Certificate of waiverOct 21, 2027
46D2198452Clinical Consultants LLC754 N Main St, Tooele, UT 84074Certificate of waiverNov 1, 2026

National Provider Directory

National Provider Directory
Tax ID family
Clinical Consultants Limited Liability Company3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2661 Washington Blvd
Ste 102
Ogden, UT 84401
Phone (801) 233-8670

1001 N Featherstone Dr
Salt Lake City, UT 84116
Phone (385) 500-2786

754 N Main St
Tooele, UT 84074
Phone (435) 228-6523

Practitioners & affiliated clinicians

Practitioners 37

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.

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1208390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762473600000",
    "number": "1306010574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7601 S REDWOOD RD BLDG E",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840844007",
            "telephone_number": "801-233-8670",
            "fax_number": "801-233-8682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7601 SOUTH REDWOOD ROAD",
            "address_2": "BUILDING E",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840849323",
            "telephone_number": "801-233-8670",
            "fax_number": "801-233-8682"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 N Featherstone Dr",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841161522",
            "country_code": "US",
            "telephone_number": "385-500-2786",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2661 Washington Blvd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Ogden",
            "state": "UT",
            "postal_code": "844013606",
            "country_code": "US",
            "telephone_number": "801-621-8670",
            "fax_number": "801-621-4512",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "754 N Main St",
            "address_purpose": "LOCATION",
            "city": "Tooele",
            "state": "UT",
            "postal_code": "840741612",
            "country_code": "US",
            "telephone_number": "435-228-6523",
            "fax_number": "435-241-4094",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CLINICAL CONSULTANTS LIMITED LIABILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-17",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A",
        "authorized_official_last_name": "VREDENBURG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "ADMINISTRATIVE COORDINATOR",
        "authorized_official_telephone_number": "801-233-8670"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "UT",
            "license": "16640",
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "UT",
            "license": "16640",
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Jordan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.