NPIMap

Organization Active NPI

Square One Psychological Assessment & Supervision Services

  • Professional Counselor
  • Murray, UT
National Provider Identifier
1427748920
Registry record updated Jun 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
SQUARE ONE PSYCHOLOGICAL ASSESSMENT & SUPERVISION SERVICES
Practice address
5321 S Ben Davis Park
Murray, UT 84123-4574
Phone
(843) 212-6995
NPI assigned
May 9, 2023
Last updated
Jun 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2023

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

Authorized official

Name
Jennifer ZeuschnerNPI 1245530898
Title
Provider
Phone
(843) 212-6995

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 Counselor 101YP2500X NU Primary

Addresses

Primary practice location

5321 S Ben Davis Park
Murray, UT 84123-4574

Mailing address

5321 S Ben Davis Park
Murray, UT 84123-4574
Phone (843) 212-6995

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1683590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686009600000",
    "number": "1427748920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5321 S BEN DAVIS PARK",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841234574",
            "telephone_number": "843-212-6995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5321 S BEN DAVIS PARK",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841234574",
            "telephone_number": "843-212-6995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SQUARE ONE PSYCHOLOGICAL ASSESSMENT & SUPERVISION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-09",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A",
        "authorized_official_last_name": "ZEUSCHNER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "843-212-6995"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 6, 2023; 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.