Individual provider Active NPI

Joyce R Johnson

  • Clinical Social Worker
  • Pleasant Grove, UT
National Provider Identifier
1497390330
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11678892-3501 Issued in UT
Practice address
PO Box 254
Pleasant Grove, UT 84062-0254
Phone
(801) 796-2528
Fax
(385) 225-9329
NPI assigned
Nov 14, 2019
Last updated
Apr 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW.09929380 CO
Clinical Social Worker 1041C0700X 7571639 ID
Clinical Social Worker 1041C0700X 11678892-3501 UT Primary

Addresses

Primary practice location

PO Box 254
Pleasant Grove, UT 84062-0254

Mailing address

PO Box 254
Pleasant Grove, UT 84062-0254
Phone (801) 796-2528

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CSW.09929380COMDClinical Social Worker
7571639IDMDClinical Social Worker
11678892-3501UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Premiere Counseling Services LLC Clinical CurrentSince Mar 20, 2025 Accepting new patients
Intermountain Specialized Abuse Treatment Center (Isat) PastSince Nov 1, 2019 Accepting new patients

Locations

526 W Center St
Ste S108
Pleasant Grove, UT 84062
Phone (801) 796-2528

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1573689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1497390330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 254",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840620254",
            "telephone_number": "801-796-2528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 254",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840620254",
            "telephone_number": "801-796-2528",
            "fax_number": "385-225-9329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JOYCE",
        "middle_name": "R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-14",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09929380",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "7571639",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "11678892-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasant Grove, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; 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.