Mountainside Counseling PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MOUNTAINSIDE COUNSELING PLLC

Practice address

240 N East Promontory Ste 200
Farmington, UT 84025-2950

Phone

(385) 390-3579

NPI assigned

Nov 8, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. McKenzie Maria Anderson, LCSWNPI 1932756293

Title

Sole Member

Phone

(385) 390-3579

Specialties & licenses 1

Addresses

Other names 1

• Mountain Peak Counseling Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• McKenzie Maria Anderson, LCSW

  • Clinical Social Worker
  • Farmington, UT
  • NPI 1932756293
  NPD Authorized official

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

{
    "created_epoch": "1699401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699401600000",
    "number": "1497529630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 N EAST PROMONTORY STE 200",
            "city": "FARMINGTON",
            "state": "UT",
            "postal_code": "840252950",
            "telephone_number": "385-390-3579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 N EAST PROMONTORY STE 200",
            "city": "FARMINGTON",
            "state": "UT",
            "postal_code": "840252950",
            "telephone_number": "385-390-3579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAINSIDE COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-08",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "MCKENZIE",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "385-390-3579",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mountain Peak Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Javier Alex Morales, LCSW
• Sarah Morris
• Paul Edward Morrison, M.D.
• Patricia Anne Moses, MS CCC-SLP
• Mountain View Pediatric Dentistry of Farmington
• Tyson Muir, RBT
• Roja R Mulamalla, MD
• Tristian Mullen, CSW
• Sarah Hart Murray, OTR/L
• Jacob Murrill

• Clinical Social Worker in Farmington, UT
• Providers in Farmington, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; 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.