Dream River Counseling LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

DREAM RIVER COUNSELING LLC

Practice address

850 E 9400 S Ste 103
Sandy, UT 84094-4104

Phone

(801) 450-0199

Fax

(888) 503-2513

NPI assigned

Oct 20, 2019

Organization subpart

No

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

Authorized official

Name

Paul Stiles Randak, LMFTNPI 1811486442

Title

Owner/Operator

Phone

(801) 450-0199

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul Stiles Randak

  • Mental Health Counselor
  • Sandy, UT
  • NPI 1811486442
  NPD Authorized official

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

{
    "created_epoch": "1571529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571529600000",
    "number": "1346883634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 900785",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840900785",
            "telephone_number": "801-450-0199",
            "fax_number": "888-503-2513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 E 9400 S STE 103",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840944104",
            "telephone_number": "801-450-0199",
            "fax_number": "888-503-2513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DREAM RIVER COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-20",
        "last_updated": "2019-10-20",
        "status": "A",
        "authorized_official_last_name": "RANDAK",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "STILES",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "801-450-0199",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kacie Doyle-Delgado, FNP-C
• Pamela Doyle
• Dr. Courtney Sivertson, P.C. (Mountain Home Eye Care)
• Dr. David E. Jackson DDS PC
• Dr. Jeffrey a Iverson (Iverson Orthodontics)
• Marc Drebing, APC
• Anita Dromey, SLP
• David W Drury, MD
• DTB South, LLC (Utah Medical Hearing Centers)
• Claudia Duarte

• Mental Health Clinic/Center (Including Community Mental Health Center) in Sandy, UT
• Providers in Sandy, UT by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2019; 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.