NPIMap

Organization Active NPI

Grandview Family Counseling

  • Adolescent and Children Mental Health Clinic/Center
  • Woods Cross, UT
National Provider Identifier
1336682145
Registry record updated Nov 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
License
3582863501 Issued in UT
Legal business name
GRANDVIEW FAMILY COUNSELING
Practice address
1576 S 500 W
Suite 202
Woods Cross, UT 84010-7433
Phone
(801) 406-9002
Fax
(801) 294-5286
NPI assigned
Nov 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2016

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

Authorized official

Name
Holly Willard, LCSW
Title
Owner
Phone
(801) 550-9057

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X 3582863501 UT Primary

Addresses

Primary practice location

1576 S 500 W
Suite 202
Woods Cross, UT 84010-7433

Mailing address

1576 S 500 W
Suite 202
Woods Cross, UT 84010-7433
Phone (801) 406-9002

National Provider Directory

National Provider Directory
Tax ID family
Grandview Family Counseling2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1576 S 500 W
Ste 202
Woods Cross, UT 84010
Phone (801) 406-9002

Practitioners & affiliated clinicians

Practitioners 9

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": "1480291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480291200000",
    "number": "1336682145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1576 S 500 W",
            "address_2": "SUITE 202",
            "city": "WOODS CROSS",
            "state": "UT",
            "postal_code": "840107433",
            "telephone_number": "801-406-9002",
            "fax_number": "801-294-5286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1576 S 500 W",
            "address_2": "SUITE 202",
            "city": "WOODS CROSS",
            "state": "UT",
            "postal_code": "840107433",
            "telephone_number": "801-406-9002",
            "fax_number": "801-294-5286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANDVIEW FAMILY COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-28",
        "last_updated": "2016-11-28",
        "status": "A",
        "authorized_official_last_name": "WILLARD",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-550-9057",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "UT",
            "license": "3582863501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woods Cross, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2016; 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.