Organization Active NPI

Ogden Center for Change, LLC

  • Mental Health Counselor
  • Ogden, UT
National Provider Identifier
1417581950
Registry record updated Apr 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
OGDEN CENTER FOR CHANGE, LLC
Practice address
3670 Quincy Ave Ste 105
Ogden, UT 84403-1993
Phone
(801) 781-5733
Fax
(801) 899-6634
NPI assigned
Feb 24, 2020
Last updated
Apr 13, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2022

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

Authorized official

Name
David Paul Johnson, PHDNPI 1881963700
Title
Psychologist/Co-Owner
Phone
(801) 781-5733

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary
Clinical Psychologist 103TC0700X NU
Clinical Social Worker 1041C0700X NU

Addresses

Primary practice location

3670 Quincy Ave Ste 105
Ogden, UT 84403-1993

Mailing address

3670 Quincy Ave Ste 105
Ogden, UT 84403-1993
Phone (801) 781-5733

National Provider Directory

National Provider Directory

Locations

3544 Lincoln Ave
Ste A
Ogden, UT 84401
Phone 8017815733 ext. 102

3670 Quincy Ave
Ste 105
Ogden, UT 84403
Phone (801) 781-5733

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1582502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649808000000",
    "number": "1417581950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3670 QUINCY AVE STE 105",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844031993",
            "telephone_number": "801-781-5733",
            "fax_number": "801-899-6634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3670 QUINCY AVE STE 105",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844031993",
            "telephone_number": "801-781-5733",
            "fax_number": "801-899-6634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OGDEN CENTER FOR CHANGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-24",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PSYCHOLOGIST/CO-OWNER",
        "authorized_official_telephone_number": "801-781-5733",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2022; 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.