NPIMap

Organization Active NPI

Red Willow Iop, PLLC

Doing business as Red Willow Counseling and Recovery

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Salt Lake City, UT
National Provider Identifier
1477189900
Registry record updated Mar 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
RED WILLOW IOP, PLLC
Doing business as
Red Willow Counseling and Recovery
Practice address
1425 S 700 E Ste 102
Salt Lake City, UT 84105-2125
Phone
(385) 313-0055
NPI assigned
Mar 16, 2020
Last updated
Mar 16, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
RED WILLOW COUNSELING AND RECOVERY PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 16, 2020

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

Authorized official

Name
James Ott, LCSWNPI 1295807378
Title
Executive Director
Phone
(801) 556-6007

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)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

1425 S 700 E Ste 102
Salt Lake City, UT 84105-2125

Mailing address

1425 S 700 E Ste 102
Salt Lake City, UT 84105-2125
Phone (385) 313-0055

Other names 1

  • Red Willow Counseling and Recovery Doing business as

National Provider Directory

National Provider Directory
Part of
Red Willow Counseling and Recovery

Locations

1425 S 700 E
#102
Slc, UT 84105
Phone (385) 313-0055

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1584316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584316800000",
    "number": "1477189900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 S 700 E STE 102",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841052125",
            "telephone_number": "385-313-0055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 S 700 E STE 102",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841052125",
            "telephone_number": "385-313-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED WILLOW IOP, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RED WILLOW COUNSELING AND RECOVERY PC",
        "enumeration_date": "2020-03-16",
        "last_updated": "2020-03-16",
        "certification_date": "2020-03-16",
        "status": "A",
        "authorized_official_last_name": "OTT",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "801-556-6007",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Red Willow Counseling and Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 16, 2020; 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.