Active NPI
Your Path Therapy LLC
- Mental Health Counselor
- Cottonwood Heights, UT
National Provider Identifier
1336996628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- YOUR PATH THERAPY LLC
- Practice address
- 6975 Union Park Avenue
Suite 621
Cottonwood Heights, UT 84047 - Phone
- (801) 477-7422
- NPI assigned
- May 3, 2024
- 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
- Cameron Hawkins
- Title
- Business Owner
- Phone
- (801) 503-1586
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
6975 Union Park Avenue
Suite 621
Cottonwood Heights, UT 84047
Mailing address
75 S Orchard Dr
North Salt Lake, UT 84054-1828
Phone (801) 503-1586
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.
-
- Professional Counselor
- Cottonwood Heights, UT
- NPI 1992272629
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714694400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1714694400000",
"number": "1336996628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 S ORCHARD DR",
"city": "NORTH SALT LAKE",
"state": "UT",
"postal_code": "840541828",
"telephone_number": "801-503-1586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6975 UNION PARK AVENUE",
"address_2": "SUITE 621",
"city": "COTTONWOOD HEIGHTS",
"state": "UT",
"postal_code": "84047",
"telephone_number": "801-477-7422"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YOUR PATH THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-03",
"last_updated": "2024-05-03",
"certification_date": "2024-04-25",
"status": "A",
"authorized_official_last_name": "HAWKINS",
"authorized_official_first_name": "CAMERON",
"authorized_official_title_or_position": "BUSINESS OWNER",
"authorized_official_telephone_number": "801-503-1586"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cottonwood Heights, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.