Organization Active NPI

Gold Star Mental Health PLLC

  • Clinical Social Worker
  • Ogden, UT
National Provider Identifier
1326843418
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
GOLD STAR MENTAL HEALTH PLLC
Practice address
1015 Hislop Dr
Ogden, UT 84404-5313
Phone
(385) 240-2686
NPI assigned
Feb 13, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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

Authorized official

Name
Aubree Johnson, LCSW
Title
LCSW/Owner
Phone
(385) 240-2686

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1015 Hislop Dr
Ogden, UT 84404-5313

Mailing address

1015 Hislop Dr
Ogden, UT 84404-5313
Phone (385) 240-2686

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1739404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739404800000",
    "number": "1326843418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 HISLOP DR",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844045313",
            "telephone_number": "385-240-2686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 HISLOP DR",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844045313",
            "telephone_number": "385-240-2686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLD STAR MENTAL HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-13",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "AUBREE",
        "authorized_official_title_or_position": "LCSW/OWNER",
        "authorized_official_telephone_number": "385-240-2686",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2025; 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.