NPIMap

Organization Active NPI

Primary Children's Center for Counseling

  • Community/Behavioral Health Agency
  • Salt Lake City, UT
National Provider Identifier
1467601492
Registry record updated Sep 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
380804-3501 Issued in UT
Legal business name
PRIMARY CHILDREN'S CENTER FOR COUNSELING
Practice address
5770 S 1500 W
#G
Salt Lake City, UT 84123-5216
Phone
(801) 265-3000
Fax
(801) 265-3025
NPI assigned
Sep 15, 2008
Last updated
Sep 15, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
INTERMOUNTAIN HEALTHCAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 15, 2008

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

Authorized official

Name
Prof. Dorann Mitchell, LCSW
Title
Director, PCCC
Phone
(801) 265-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 380804-3501 UT Primary

Addresses

Primary practice location

5770 S 1500 W
#G
Salt Lake City, UT 84123-5216

Mailing address

5770 S 1500 W
#G
Salt Lake City, UT 84123-5216
Phone (801) 265-3000

National Provider Directory

National Provider Directory
Tax ID family
Robert E Fowles MD482 organizations share this tax ID, including this one
Part of
Robert E Fowles MD

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

5770 S 1500 W
#G
Salt Lake City, UT 84123
Phone (801) 265-3000

NPI Registry JSON

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

{
    "created_epoch": "1221436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221436800000",
    "number": "1467601492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5770 S 1500 W",
            "address_2": "#G",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841235216",
            "telephone_number": "801-265-3000",
            "fax_number": "801-265-3025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5770 S 1500 W",
            "address_2": "#G",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841235216",
            "telephone_number": "801-265-3000",
            "fax_number": "801-265-3025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CHILDREN'S CENTER FOR COUNSELING",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INTERMOUNTAIN HEALTHCARE",
        "enumeration_date": "2008-09-15",
        "last_updated": "2008-09-15",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "DORANN",
        "authorized_official_title_or_position": "DIRECTOR, PCCC",
        "authorized_official_telephone_number": "801-265-3000",
        "authorized_official_name_prefix": "Prof.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "UT",
            "license": "380804-3501",
            "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 Sep 15, 2008; 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.