Active NPI
Penny Rawlins
- Counselor
- West Jordan, UT
National Provider Identifier
1437626553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 10148069-6009
- Practice address
- 9263 S Redwood Rd BLDG 8
West Jordan, UT 84088-6571 - Phone
- (801) 566-0749
- Fax
- (801) 566-7108
- NPI assigned
- Oct 26, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 10148069-6009 | UT | Primary |
Addresses
Primary practice location
9263 S Redwood Rd BLDG 8
West Jordan, UT 84088-6571
Mailing address
9263 S Redwood Rd BLDG 8
West Jordan, UT 84088-6571
Phone (801) 566-0749
Other names 1
- Penny Rawlins
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10148069-6009 | UT | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jordan West Family Counseling Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- West Jordan, UT
- NPI 1508811480
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540512000000",
"number": "1437626553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9263 S REDWOOD RD BLDG 8",
"city": "WEST JORDAN",
"state": "UT",
"postal_code": "840886571",
"telephone_number": "801-566-0749",
"fax_number": "801-566-7108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9263 S REDWOOD RD BLDG 8",
"city": "WEST JORDAN",
"state": "UT",
"postal_code": "840886571",
"telephone_number": "801-566-0749",
"fax_number": "801-566-7108"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAWLINS",
"first_name": "PENNY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-26",
"last_updated": "2018-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "UT",
"license": "10148069-6009",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PENNY",
"last_name": "RAWLINS",
"credential": "ACMHC",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in West Jordan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.