NPIMap

Organization Active NPI

Life Launch Centers of South Salt Lake

  • Clinical Social Worker
  • West Jordan, UT
National Provider Identifier
1336705292
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
LIFE LAUNCH CENTERS OF SOUTH SALT LAKE
Practice address
9289 S Redwood Rd Ste D&E
West Jordan, UT 84088-6730
Phone
(833) 803-3883
Fax
(435) 767-0278
NPI assigned
May 16, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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

Authorized official

Name
Joni L Dyches
Title
Owner/Cfo
Phone
(801) 803-8240

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

9289 S Redwood Rd Ste D&E
West Jordan, UT 84088-6730

Mailing address

230 N 1680 E Ste J1
St George, UT 84790-2588
Phone (435) 767-0552

Other names 2

  • Anxiety Trauma and Depression Treatment Center Doing business as
  • Life Launch Centers of South Salt Lake Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Life Launch Centers of South Salt Lake2 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

9289 S Redwood Rd
Ste De
West Jordan, UT 84088
Phone (833) 803-3883

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

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": "1557964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745798400000",
    "number": "1336705292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 N 1680 E STE J1",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847902588",
            "telephone_number": "435-767-0552",
            "fax_number": "435-767-0278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9289 S REDWOOD RD STE D&E",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840886730",
            "telephone_number": "833-803-3883",
            "fax_number": "435-767-0278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE LAUNCH CENTERS OF SOUTH SALT LAKE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-16",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A",
        "authorized_official_last_name": "DYCHES",
        "authorized_official_first_name": "JONI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/CFO",
        "authorized_official_telephone_number": "801-803-8240"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anxiety Trauma and Depression Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Life Launch Centers of South Salt Lake",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Jordan, UT

Sources for this page

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