Impax Counseling Foundation

Primary specialty

Social WorkerTaxonomy code 104100000X

Legal business name

IMPAX COUNSELING FOUNDATION

Practice address

4512 W Watchmen Way
Herriman, UT 84096-2946

Phone

(385) 414-7711

NPI assigned

Feb 20, 2024

Organization subpart

No

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

Authorized official

Name

Woodrow Joseph Bartlett

Title

Owner

Phone

(385) 414-7711

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1708387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708387200000",
    "number": "1487419263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4512 W WATCHMEN WAY",
            "city": "HERRIMAN",
            "state": "UT",
            "postal_code": "840962946",
            "telephone_number": "385-414-7711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4512 W WATCHMEN WAY",
            "city": "HERRIMAN",
            "state": "UT",
            "postal_code": "840962946",
            "telephone_number": "385-414-7711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPAX COUNSELING FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-20",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A",
        "authorized_official_last_name": "BARTLETT",
        "authorized_official_first_name": "WOODROW",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "385-414-7711"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Social Worker in Herriman, UT
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• Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; 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.