Organization Active NPI

Mind and Body Integrative Healing Center

  • Professional Counselor
  • Taylorsville, UT
National Provider Identifier
1447843644
Registry record updated Dec 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
MIND AND BODY INTEGRATIVE HEALING CENTER
Doing business as
Integrative Healing Centers of Utah
Practice address
2860 W 4700 S Ste B
Taylorsville, UT 84129-2159
Phone
(385) 347-5976
Fax
(801) 905-1258
NPI assigned
Feb 18, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2021

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

Authorized official

Name
James Wattson McClure
Title
Owner Partner
Phone
(801) 230-4051

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

2860 W 4700 S Ste B
Taylorsville, UT 84129-2159

Mailing address

1935 W 4700 S Ste 330
Taylorsville, UT 84129-1105
Phone (385) 347-5976

Other names 1

  • Integrative Healing Centers of Utah Doing business as

National Provider Directory

National Provider Directory

Locations

4546 S Atherton Dr
Ste 204
Taylorsville, UT 84123

1935 W 4700 S
Taylorsville, UT 84129

NPI Registry JSON

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

{
    "created_epoch": "1613606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638316800000",
    "number": "1447843644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1935 W 4700 S STE 330",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841291105",
            "telephone_number": "385-347-5976",
            "fax_number": "801-905-1258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2860 W 4700 S STE B",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841292159",
            "telephone_number": "385-347-5976",
            "fax_number": "801-905-1258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND AND BODY INTEGRATIVE HEALING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-18",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A",
        "authorized_official_last_name": "MCCLURE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "WATTSON",
        "authorized_official_title_or_position": "OWNER PARTNER",
        "authorized_official_telephone_number": "801-230-4051"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrative Healing Centers of Utah",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 1, 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.

Verify at the official NPI Registry.