Organization Active NPI

Life Choices Counseling & Coaching, PLLC

  • Mental Health Counselor
  • Taylorsville, UT
National Provider Identifier
1427820307
Registry record updated Oct 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
LIFE CHOICES COUNSELING & COACHING, PLLC
Practice address
5691 S Redwood Rd Unit 16
Taylorsville, UT 84123-5485
Phone
(801) 755-2122
NPI assigned
Oct 24, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2023

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

Authorized official

Name
Mrs. Broooke Ann Simmons, LCSW
Title
Director/Owner
Phone
(801) 755-2122

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

5691 S Redwood Rd Unit 16
Taylorsville, UT 84123-5485

Mailing address

5691 S Redwood Rd Unit 16
Taylorsville, UT 84123-5485
Phone (801) 755-2122

National Provider Directory

National Provider Directory

Locations

5691 S Redwood Rd
Unit 16
Taylorsville, UT 84123
Phone (801) 265-3895

NPI Registry JSON

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

{
    "created_epoch": "1698105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698105600000",
    "number": "1427820307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5691 S REDWOOD RD UNIT 16",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841235485",
            "telephone_number": "801-755-2122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5691 S REDWOOD RD UNIT 16",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841235485",
            "telephone_number": "801-755-2122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE CHOICES COUNSELING & COACHING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-24",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "BROOOKE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "801-755-2122",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylorsville, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.