NPIMap

Organization Active NPI

Cottonwood Movement Therapy

  • Professional Counselor
  • Murray, UT
National Provider Identifier
1386486736
Registry record updated Jun 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
COTTONWOOD MOVEMENT THERAPY
Practice address
925 E Executive Park Dr Ste B
Murray, UT 84117-3545
Phone
(801) 610-6801
NPI assigned
Jun 7, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2024

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

Authorized official

Name
Hallie Yurick, CMHCNPI 1720399876
Title
Clinical Mental Health Counselor
Phone
(801) 610-6801

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
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

925 E Executive Park Dr Ste B
Murray, UT 84117-3545

Mailing address

PO Box 712372
Cottonwood Heights, UT 84171-2372
Phone (801) 610-6801

Other names 1

  • Cottonwood Movement Therapy Other name

National Provider Directory

National Provider Directory

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": "1717718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717718400000",
    "number": "1386486736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 712372",
            "city": "COTTONWOOD HEIGHTS",
            "state": "UT",
            "postal_code": "841712372",
            "telephone_number": "801-610-6801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 E EXECUTIVE PARK DR STE B",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841173545",
            "telephone_number": "801-610-6801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COTTONWOOD MOVEMENT THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-07",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A",
        "authorized_official_last_name": "YURICK",
        "authorized_official_first_name": "HALLIE",
        "authorized_official_title_or_position": "CLINICAL MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "801-610-6801",
        "authorized_official_credential": "CMHC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cottonwood Movement Therapy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Murray, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2024; 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.