Organization Active NPI

Aspen Therapy Inc

  • Marriage & Family Therapist
  • Provo, UT
National Provider Identifier
1487841557
Registry record updated Feb 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
116278-3902 Issued in UT
Legal business name
ASPEN THERAPY INC
Practice address
3707 N Canyon Rd # 2C
Provo, UT 84604-4596
Phone
(801) 225-3111
Fax
(801) 225-9809
NPI assigned
Oct 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2008

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

Authorized official

Name
Dr. Ruth M Killpack, PH.D.
Title
President
Phone
(801) 225-3111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X 116278-3902 UT Primary

Addresses

Primary practice location

3707 N Canyon Rd # 2C
Provo, UT 84604-4596

Mailing address

3707 N Canyon Rd # 2C
Provo, UT 84604-4596
Phone (801) 225-3111

National Provider Directory

National Provider Directory

Locations

3707 N Canyon Rd
Ste 2C
Provo, UT 84604
Phone (801) 225-1212

Practitioners & affiliated clinicians

Practitioners 3

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": "1191283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202169600000",
    "number": "1487841557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3707 N CANYON RD # 2C",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846044596",
            "telephone_number": "801-225-3111",
            "fax_number": "801-225-9809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3707 N CANYON RD # 2C",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846044596",
            "telephone_number": "801-225-3111",
            "fax_number": "801-225-9809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPEN THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-02",
        "last_updated": "2008-02-05",
        "status": "A",
        "authorized_official_last_name": "KILLPACK",
        "authorized_official_first_name": "RUTH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-225-3111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "UT",
            "license": "116278-3902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Provo, UT

Sources for this page

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