Active NPI
Guiding Light Mental Health and Wellness
- Clinical Social Worker
- Logan, UT
National Provider Identifier
1336031202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- GUIDING LIGHT MENTAL HEALTH AND WELLNESS
- Practice address
- 965 S 100 W Ste 106
Logan, UT 84321-6067 - Phone
- (801) 436-7783
- NPI assigned
- Jul 16, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kayce Bradley
- Title
- Healthcare Provider
- Phone
- (801) 388-3981
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
965 S 100 W Ste 106
Logan, UT 84321-6067
Mailing address
911 W 2840 S
Nibley, UT 84321-6522
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Logan, UT
- NPI 1508340357
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1752624000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1752624000000",
"number": "1336031202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "911 W 2840 S",
"city": "NIBLEY",
"state": "UT",
"postal_code": "843216522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "965 S 100 W STE 106",
"city": "LOGAN",
"state": "UT",
"postal_code": "843216067",
"telephone_number": "801-436-7783"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GUIDING LIGHT MENTAL HEALTH AND WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2025-07-16",
"last_updated": "2025-07-16",
"certification_date": "2025-07-16",
"status": "A",
"authorized_official_last_name": "BRADLEY",
"authorized_official_first_name": "KAYCE",
"authorized_official_title_or_position": "HEALTHCARE PROVIDER",
"authorized_official_telephone_number": "801-388-3981"
},
"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 Logan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.