Active NPI
Aspen Therapy Inc
- Marriage & Family Therapist
- Provo, UT
National Provider Identifier
1487841557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 116278-3902
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 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 DirectoryLocations
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.
-
- Clinical Social Worker
- Orem, UT
- NPI 1952425043
-
- Clinical Social Worker
- Provo, UT
- NPI 1346322633
-
- Clinical Social Worker
- Provo, UT
- NPI 1487936571
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.