Active NPI
Jordan Valley Counseling Clinic
- Clinical Social Worker
- South Jordan, UT
National Provider Identifier
1487921722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1012653501
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Veon Smith Jr., DSW
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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
National Provider Directory
National Provider DirectoryPractitioners & 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.