Organization Active NPI

Sunrise Therapy, LLC

  • Professional Counselor
  • Bountiful, UT
National Provider Identifier
1396186698
Registry record updated Jul 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
64977986004 Issued in UT
Legal business name
SUNRISE THERAPY, LLC
Practice address
845 S Main St
Suite A3
Bountiful, UT 84010-6381
Phone
(801) 298-0232
Fax
(801) 298-1014
NPI assigned
Jul 15, 2013
Last updated
Jul 15, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2013

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

Authorized official

Name
Mrs. Julie R Jackman
Title
Director/Owner
Phone
(801) 298-0232

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 64977986004 UT Primary

Addresses

Primary practice location

845 S Main St
Suite A3
Bountiful, UT 84010-6381

Mailing address

845 S Main St
Suite A3
Bountiful, UT 84010-6381
Phone (801) 298-0232

National Provider Directory

National Provider Directory

Locations

845 S Main St
Ste A3
Bountiful, UT 84010
Phone (801) 298-0232

NPI Registry JSON

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

{
    "created_epoch": "1373846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373846400000",
    "number": "1396186698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 S MAIN ST",
            "address_2": "SUITE A3",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840106381",
            "telephone_number": "801-298-0232",
            "fax_number": "801-298-1014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 S MAIN ST",
            "address_2": "SUITE A3",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840106381",
            "telephone_number": "801-298-0232",
            "fax_number": "801-298-1014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-15",
        "last_updated": "2013-07-15",
        "status": "A",
        "authorized_official_last_name": "JACKMAN",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "801-298-0232",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "UT",
            "license": "64977986004",
            "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 Jul 15, 2013; 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.