Organization Active NPI

Amanda Wissler Counseling, PLLC

  • Social Worker
  • Park City, UT
National Provider Identifier
1497491559
Registry record updated May 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
AMANDA WISSLER COUNSELING, PLLC
Practice address
2078 Prospector Ave Ste 1
Park City, UT 84060-7587
Phone
(801) 448-8264
NPI assigned
May 10, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2022

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

Authorized official

Name
Amanda Wissler, LCSWNPI 1417326687
Title
LCSW
Phone
(801) 448-8264

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
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X Primary

Addresses

Primary practice location

2078 Prospector Ave Ste 1
Park City, UT 84060-7587

Mailing address

6749 N 2200 W Apt B103
Park City, UT 84098-8305
Phone (801) 448-8264

National Provider Directory

National Provider Directory

Locations

2078 Prospector Ave
Ste 1
Park City, UT 84060
Phone (801) 448-8264

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": "1652140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652140800000",
    "number": "1497491559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6749 N 2200 W APT B103",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840988305",
            "telephone_number": "801-448-8264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2078 PROSPECTOR AVE STE 1",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840607587",
            "telephone_number": "801-448-8264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMANDA WISSLER COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-10",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A",
        "authorized_official_last_name": "WISSLER",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "801-448-8264",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2022; 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.