Fresh Start Behavioral Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

2885

Legal business name

FRESH START BEHAVIORAL SERVICES

Practice address

8841 S Redwood Rd Ste D1
West Jordan, UT 84088-9290

Phone

(801) 566-2468

Fax

(855) 787-6818

NPI assigned

Nov 9, 2013

Organization subpart

No

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

Authorized official

Name

Lane Cannon Porter, CMHC

Title

Director

Phone

(801) 566-2468

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1383955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383955200000",
    "number": "1346679396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8841 S REDWOOD RD STE D1",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840889290",
            "telephone_number": "801-566-2468",
            "fax_number": "855-787-6818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8841 S REDWOOD RD STE D1",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840889290",
            "telephone_number": "801-566-2468",
            "fax_number": "855-787-6818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESH START BEHAVIORAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-09",
        "last_updated": "2013-11-09",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "LANE",
        "authorized_official_middle_name": "CANNON",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "801-566-2468",
        "authorized_official_credential": "CMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": "2885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary Fredman, M.D.
• Amanda Freeman
• Ashlyn Elizabeth Freeman
• Jarrod Freeman, PHARMD
• Sara Freeman
• Candice Nicole Fresques, D.M.D.
• Amber Friedrich, PHARM.D
• Ariel Lynn Fry, RD
• Linda Sue Frye, M.S. CCC-SLP
• Olivia Claire Fryer

• Community/Behavioral Health Agency in West Jordan, UT
• Providers in West Jordan, UT by specialty
• Community/Behavioral Health Agency in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2013; 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.