NPIMap

Organization Active NPI

Creating Change

  • Community/Behavioral Health Agency
  • Salt Lake City, UT
National Provider Identifier
1447564547
Registry record updated Mar 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
68850903501 Issued in UT
Legal business name
CREATING CHANGE
Practice address
3098 Highland Dr Ste 369
Salt Lake City, UT 84106-6007
Phone
(801) 671-1315
NPI assigned
Jul 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2012

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

Authorized official

Name
Kathleen Parker, LCSW
Title
Therapist
Phone
(801) 671-1315

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 68850903501 UT Primary

Addresses

Primary practice location

3098 Highland Dr Ste 369
Salt Lake City, UT 84106-6007

Mailing address

PO Box 1503
Sandy, UT 84091-1503
Phone (801) 671-1315

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1280448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331769600000",
    "number": "1447564547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1503",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840911503",
            "telephone_number": "801-671-1315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3098 HIGHLAND DR STE 369",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841066007",
            "telephone_number": "801-671-1315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATING CHANGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-30",
        "last_updated": "2012-03-15",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "801-671-1315",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "UT",
            "license": "68850903501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2012; 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.