Organization Active NPI

Darren J Gillespie LCSW, LLC

Doing business as Eagle Mountain Counseling

  • Clinical Social Worker
  • Eagle Mountain, UT
National Provider Identifier
1356843049
Registry record updated Feb 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5714449-3501 Issued in UT
Legal business name
DARREN J GILLESPIE LCSW, LLC
Doing business as
Eagle Mountain Counseling
Practice address
3714 E Campus Dr Ste 101
Eagle Mountain, UT 84005-5451
Phone
(801) 789-7780
Fax
(801) 789-7700
NPI assigned
Mar 8, 2018
Last updated
Feb 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2023

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

Authorized official

Name
Darren James Gillespie, LCSWNPI 1205943180
Title
Owner
Phone
(801) 789-7780

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 5714449-3501 UT Primary

Addresses

Primary practice location

3714 E Campus Dr Ste 101
Eagle Mountain, UT 84005-5451

Mailing address

3714 E Campus Dr Ste 101
Eagle Mountain, UT 84005-5451
Phone (801) 789-7780

Other names 1

  • Eagle Mountain Counseling Doing business as

National Provider Directory

National Provider Directory

Locations

3714 E Campus Dr
Ste 101
Eagle Mountain, UT 84005
Phone (801) 789-7780

3726 E Campus Dr
Ste H
Eagle Mtn, UT 84005
Phone (801) 789-7333

Practitioners & affiliated clinicians

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1520467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677456000000",
    "number": "1356843049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3714 E CAMPUS DR STE 101",
            "city": "EAGLE MOUNTAIN",
            "state": "UT",
            "postal_code": "840055451",
            "telephone_number": "801-789-7780",
            "fax_number": "801-789-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3714 E CAMPUS DR STE 101",
            "city": "EAGLE MOUNTAIN",
            "state": "UT",
            "postal_code": "840055451",
            "telephone_number": "801-789-7780",
            "fax_number": "801-789-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARREN J GILLESPIE LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-08",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A",
        "authorized_official_last_name": "GILLESPIE",
        "authorized_official_first_name": "DARREN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-789-7780",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "5714449-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eagle Mountain Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eagle Mountain, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; 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.