Angel Oak Family Counseling

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

8001124-3902V Issued in UT

Legal business name

ANGEL OAK FAMILY COUNSELING

Practice address

1348 W State Rd
Suite 101
Pleasant Grove, UT 84062-5021

Phone

(801) 471-7080

NPI assigned

Mar 5, 2015

Organization subpart

No

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

Authorized official

Name

Jonathan Zabriskie, LMFT

Title

Owner

Phone

(801) 471-7080

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1425513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425513600000",
    "number": "1477946168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1348 W STATE RD",
            "address_2": "SUITE 101",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840625021",
            "telephone_number": "801-471-7080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1348 W STATE RD",
            "address_2": "SUITE 101",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840625021",
            "telephone_number": "801-471-7080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL OAK FAMILY COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-05",
        "last_updated": "2015-03-05",
        "status": "A",
        "authorized_official_last_name": "ZABRISKIE",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-471-7080",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "UT",
            "license": "8001124-3902V",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Pleasant Grove, UT
• Providers in Pleasant Grove, UT by specialty
• Community/Behavioral Health Agency in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2015; 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.