Active NPI
Ascent Family Therapy, Inc
- Professional Counselor
- Provo, UT
National Provider Identifier
1386288462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- ASCENT FAMILY THERAPY, INC
- Practice address
- 4665 Mile High Dr
Provo, UT 84604-6311 - Phone
- (408) 431-4443
- NPI assigned
- Nov 1, 2019
- 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
- Mr. Daniel Burgess, LMFT
- Title
- Ceo
- Phone
- (408) 431-4443
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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | |||
| Pastoral Counselor | 101YP1600X | |||
| Professional Counselor | 101YP2500X | Primary | ||
| School Counselor | 101YS0200X | |||
| Marriage & Family Therapist | 106H00000X |
Addresses
Primary practice location
4665 Mile High Dr
Provo, UT 84604-6311
Mailing address
PO Box 902
Provo, UT 84603-0902
Phone (408) 431-4443
National Provider Directory
National Provider DirectoryLocations
3375 Scott Blvd
Ste 422
Santa Clara, CA 95054
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Marriage & Family Therapist
- Provo, UT
- NPI 1285189514
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572566400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1602288000000",
"number": "1386288462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 902",
"city": "PROVO",
"state": "UT",
"postal_code": "846030902",
"telephone_number": "408-431-4443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4665 MILE HIGH DR",
"city": "PROVO",
"state": "UT",
"postal_code": "846046311",
"telephone_number": "408-431-4443"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASCENT FAMILY THERAPY, INC",
"organizational_subpart": "NO",
"enumeration_date": "2019-11-01",
"last_updated": "2020-10-10",
"certification_date": "2020-10-10",
"status": "A",
"authorized_official_last_name": "BURGESS",
"authorized_official_first_name": "DANIEL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "408-431-4443",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LMFT"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP1600X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Pastoral",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
},
{
"code": "101YS0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, School",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Provo, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.