Individual provider Active NPI

James Grant Johnson, MSW LCSW

  • Clinical Social Worker
  • Salt Lake City, UT
National Provider Identifier
1336317650
Registry record updated Jan 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1326673501 Issued in UT
Practice address
4460 S Highland Dr Ste 220
Salt Lake City, UT 84124-3550
Phone
(888) 949-4864
NPI assigned
Feb 20, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1326673501 UT Primary

Addresses

Primary practice location

4460 S Highland Dr Ste 220
Salt Lake City, UT 84124-3550

Mailing address

10429 Zinnia Way
Sandy, UT 84094-4492
Phone (801) 571-2691

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120130000865 UT Practitioner - Clinical Social Worker 9436316627 Reassigns benefits to 1 organization
Practice locations: Sandy, UT

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1326673501UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Behavioral Health Incorporated Clinical CurrentSince Dec 3, 2018 Accepting new patients
Valley Mental Health Incorporated Clinical Current Accepting new patients
Reach Counseling, LLC Clinical CurrentSince Feb 19, 2025 Accepting new patients
Riley Individual, Family, and Marriage Counseling LLC CurrentSince Nov 3, 2012 Accepting new patients

Locations

4460 S Highland Dr
Ste 100
Salt Lake City, UT 84124
Phone (801) 273-1085

11075 S State St
Ste 4
Sandy, UT 84070
Phone (801) 657-0163

4460 S Highland Dr
Ste 230
Slc, UT 84124
Phone (801) 263-7227

873 W Baxter Dr
South Jordan, UT 84095
Phone (801) 446-3515

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1203465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546387200000",
    "number": "1336317650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10429 ZINNIA WAY",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840944492",
            "telephone_number": "801-571-2691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4460 S HIGHLAND DR STE 220",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841243550",
            "telephone_number": "888-949-4864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JAMES",
        "middle_name": "GRANT",
        "credential": "MSW LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-20",
        "last_updated": "2019-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "1326673501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.