Organization Active NPI

Elevo Counseling & Coaching

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lehi, UT
National Provider Identifier
1306484886
Registry record updated May 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
ELEVO COUNSELING & COACHING
Practice address
2940 W Maple Loop Dr Ste L13
Lehi, UT 84043-6097
Phone
(801) 335-5378
NPI assigned
Dec 16, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2022

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

Authorized official

Name
Dr. Jacob Gibson, PHD, LMFTNPI 1144577529
Title
Owner
Phone
(801) 301-2450

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

2940 W Maple Loop Dr Ste L13
Lehi, UT 84043-6097

Mailing address

2940 W Maple Loop Dr Ste L13
Lehi, UT 84043-6097
Phone (801) 335-5378

National Provider Directory

National Provider Directory

Locations

2940 W Maple Loop Dr
Ste L13
Lehi, UT 84048
Phone (801) 335-5378

1309 W South Jordan Pkwy
Ste 210
South Jordan, UT 84095
Phone (801) 252-5438

Practitioners & affiliated clinicians

Practitioners 1

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": "1576454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653436800000",
    "number": "1306484886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2940 W MAPLE LOOP DR STE L13",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840436097",
            "telephone_number": "801-335-5378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2940 W MAPLE LOOP DR STE L13",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840436097",
            "telephone_number": "801-335-5378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVO COUNSELING & COACHING",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-16",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-301-2450",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehi, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2022; 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.