Organization Active NPI

Trevor Therapy

  • Mental Health Counselor
  • Salt Lake City, UT
National Provider Identifier
1487311338
Registry record updated Nov 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
TREVOR THERAPY
Practice address
4190 S Highland Dr Ste 211
Salt Lake City, UT 84124-2675
Phone
(801) 210-0458
Fax
(801) 467-6522
NPI assigned
Nov 24, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2021

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

Authorized official

Name
Mr. Joseph Trevor Hardcastle, LMFTNPI 1538368980
Title
Owner/Ceo
Phone
(801) 210-0458

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
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

4190 S Highland Dr Ste 211
Salt Lake City, UT 84124-2675

Mailing address

4190 S Highland Dr Ste 211
Salt Lake City, UT 84124-2675
Phone (801) 210-0458

Other identifiers 1

IdentifierTypeStateIssuer
1538368980OtherCANPI

National Provider Directory

National Provider Directory

Locations

4190 S Highland Dr
Ste 211
Salt Lake City, UT 84124
Phone (801) 272-0613

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1637712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637712000000",
    "number": "1487311338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4190 S HIGHLAND DR STE 211",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841242675",
            "telephone_number": "801-210-0458",
            "fax_number": "801-467-6522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4190 S HIGHLAND DR STE 211",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841242675",
            "telephone_number": "801-210-0458",
            "fax_number": "801-467-6522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREVOR THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-24",
        "last_updated": "2021-11-24",
        "certification_date": "2021-11-24",
        "status": "A",
        "authorized_official_last_name": "HARDCASTLE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "TREVOR",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "801-210-0458",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1538368980",
            "state": "CA"
        }
    ],
    "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 Nov 24, 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.