Active NPI
Holistic Counseling
- Mental Health Clinic/Center (Including Community Mental Health Center)
- West Jordan, UT
National Provider Identifier
1437823218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- HOLISTIC COUNSELING
- Practice address
- 9886 S Redwood Rd St C
West Jordan, UT 84088 - Phone
- (801) 867-2674
- NPI assigned
- Aug 4, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shahar Lawrence, LCSW
- Title
- Owner
- Phone
- (801) 867-2674
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
9886 S Redwood Rd St C
West Jordan, UT 84088
Mailing address
952 W 965 N Apt 205
Orem, UT 84057-4154
Phone (801) 867-2674
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609346014 | Medicaid | UT |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Salt Lake City, UT
- NPI 1609346014
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628035200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1628035200000",
"number": "1437823218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "952 W 965 N APT 205",
"city": "OREM",
"state": "UT",
"postal_code": "840574154",
"telephone_number": "801-867-2674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9886 S REDWOOD RD ST C",
"city": "WEST JORDAN",
"state": "UT",
"postal_code": "84088",
"telephone_number": "801-867-2674"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOLISTIC COUNSELING",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-04",
"last_updated": "2021-08-04",
"certification_date": "2021-07-12",
"status": "A",
"authorized_official_last_name": "LAWRENCE",
"authorized_official_first_name": "SHAHAR",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "801-867-2674",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1609346014",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
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 Aug 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.