Fab Therapy & Consulting LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

FAB THERAPY & CONSULTING LLC

Practice address

949 N Abbey Dr
North Salt Lake, UT 84054-5500

Phone

(801) 997-0635

NPI assigned

Sep 10, 2024

Organization subpart

No

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

Authorized official

Name

Blanca Fabiola Madrigal, LCSWNPI 1063026441

Title

Owner

Phone

(801) 550-5505

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Blanca Fabiola Madrigal

  • Clinical Social Worker
  • North Salt Lake, UT
  • NPI 1063026441
  NPD Authorized official

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

{
    "created_epoch": "1725926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725926400000",
    "number": "1326874082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "949 N ABBEY DR",
            "city": "NORTH SALT LAKE",
            "state": "UT",
            "postal_code": "840545500",
            "telephone_number": "801-997-0635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "949 N ABBEY DR",
            "city": "NORTH SALT LAKE",
            "state": "UT",
            "postal_code": "840545500",
            "telephone_number": "801-997-0635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAB THERAPY & CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-10",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A",
        "authorized_official_last_name": "MADRIGAL",
        "authorized_official_first_name": "BLANCA",
        "authorized_official_middle_name": "FABIOLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-550-5505",
        "authorized_official_credential": "LCSW"
    },
    "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": []
}

• Tracy Ann Dyches
• Aubrey Mercer Edwards, RDN
• Jessica Edwards
• Elevation Behavioral Science Services, PLLC
• Emily Erickson, RPH
• Paula K Fish, CSW
• Paul Leo Fontana, CMHC
• Heather Foote
• Erin Fordham
• Alexandria Paige Frayer

• Mental Health Clinic/Center (Including Community Mental Health Center) in North Salt Lake, UT
• Providers in North Salt Lake, UT by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; 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.