Organization Active NPI

Jordan Valley Counseling Clinic

  • Clinical Social Worker
  • South Jordan, UT
National Provider Identifier
1487921722
Registry record updated Nov 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1012653501 Issued in UT
Legal business name
JORDAN VALLEY COUNSELING CLINIC
Practice address
9528 Caledonia Cir
South Jordan, UT 84095-9701
Phone
(801) 282-1374
Fax
(801) 280-8225
NPI assigned
Nov 30, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2011

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

Authorized official

Name
Dr. Veon Smith Jr., DSWNPI 1093745184
Title
Owner / Partner
Phone
(801) 282-1374

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 1012653501 UT Primary

Addresses

Primary practice location

9528 Caledonia Cir
South Jordan, UT 84095-9701

Mailing address

9528 Caledonia Cir
South Jordan, UT 84095-9701
Phone (801) 282-1374

Other names 1

  • Jordan Valley Counseling Other name

National Provider Directory

National Provider Directory

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": "1322611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322611200000",
    "number": "1487921722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9528 CALEDONIA CIR",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840959701",
            "telephone_number": "801-282-1374",
            "fax_number": "801-280-8225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9528 CALEDONIA CIR",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840959701",
            "telephone_number": "801-282-1374",
            "fax_number": "801-280-8225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORDAN VALLEY COUNSELING CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-30",
        "last_updated": "2011-11-30",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "VEON",
        "authorized_official_title_or_position": "OWNER / PARTNER",
        "authorized_official_telephone_number": "801-282-1374",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "1012653501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jordan Valley Counseling",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in South Jordan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2011; 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.