Organization Active NPI

Magnolia Tree Counseling

  • Clinical Social Worker
  • Provo, UT
National Provider Identifier
1427875665
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MAGNOLIA TREE COUNSELING
Practice address
3651 N 100 E Ste 300
Provo, UT 84604-4521
Phone
(801) 319-9156
NPI assigned
Sep 20, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2024

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

Authorized official

Name
Karmen Tuivai, LCSW
Title
Owner
Phone
(801) 319-9156

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

3651 N 100 E Ste 300
Provo, UT 84604-4521

Mailing address

3651 N 100 E Ste 300
Provo, UT 84604-4521
Phone (801) 319-9156

National Provider Directory

National Provider Directory

Locations

3651 N 100 E
Ste 300
Provo, UT 84604
Phone (385) 216-9612

NPI Registry JSON

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

{
    "created_epoch": "1726790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726790400000",
    "number": "1427875665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3651 N 100 E STE 300",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846044521",
            "telephone_number": "801-319-9156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3651 N 100 E STE 300",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846044521",
            "telephone_number": "801-319-9156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA TREE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-20",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A",
        "authorized_official_last_name": "TUIVAI",
        "authorized_official_first_name": "KARMEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-319-9156",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Provo, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.