Acg Counseling Services, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

5890613-6004 Issued in UT

Legal business name

ACG COUNSELING SERVICES, LLC

Practice address

2356 N 400 E
Suite 202
Tooele, UT 84074-3409

Phone

(801) 783-9292

Fax

(435) 843-7438

NPI assigned

Apr 2, 2012

Last updated

Apr 2, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Alex C Gonzalez, LPC, NCCNPI 1740423078

Title

Owner

Phone

(801) 783-9292

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alex C Gonzalez, LCMHC, NCC

  • Mental Health Counselor
  • Orem, UT
  • NPI 1740423078
  Authorized official Same address or phone

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

{
    "created_epoch": "1333324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333324800000",
    "number": "1497011605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 W 1680 N",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840748069",
            "telephone_number": "435-249-4992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2356 N 400 E",
            "address_2": "SUITE 202",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840743409",
            "telephone_number": "801-783-9292",
            "fax_number": "435-843-7438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACG COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-02",
        "last_updated": "2012-04-02",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "ALEX",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-783-9292",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "UT",
            "license": "5890613-6004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Tooele, UT
• Providers in Tooele, UT by specialty
• Professional Counselor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2012; 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.