Organization Active NPI

Willow Pines Therapeutic Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bountiful, UT
National Provider Identifier
1366301079
Registry record updated Jan 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
WILLOW PINES THERAPEUTIC SERVICES LLC
Practice address
537 W 2600 S Ste 200
Bountiful, UT 84010-7780
Phone
(801) 663-8575
NPI assigned
Jan 19, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2026

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

Authorized official

Name
Mr. Erik Jenkins, LCSWNPI 1639576556
Title
Owner
Phone
(801) 663-8575

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

537 W 2600 S Ste 200
Bountiful, UT 84010-7780

Mailing address

124 W Wendell Way
Farmington, UT 84025-5084
Phone (801) 663-8575

National Provider Directory

National Provider Directory

Locations

537 W 2600 S
Ste 200
Bountiful, UT 84010
Phone (801) 663-8575

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": "1768780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768780800000",
    "number": "1366301079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 W WENDELL WAY",
            "city": "FARMINGTON",
            "state": "UT",
            "postal_code": "840255084",
            "telephone_number": "801-663-8575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "537 W 2600 S STE 200",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840107780",
            "telephone_number": "801-663-8575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW PINES THERAPEUTIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-19",
        "last_updated": "2026-01-19",
        "certification_date": "2026-01-19",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "ERIK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-663-8575",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "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": []
}

Other providers in Bountiful, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2026; 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.