LDS Family Services

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

870641904 Issued in UT

Legal business name

LDS FAMILY SERVICES

Doing business as

LDS Family Services UT Richfield Agency

Practice address

681 North Main
Richfield, UT 84701

Phone

(435) 896-6446

Fax

(435) 896-8769

NPI assigned

Jan 25, 2007

Last updated

Jun 6, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

LDS FAMILY SERVICESAs reported in NPPES

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

Authorized official

Name

Mr. Scott D Henderson, LCSWNPI 1780725275

Title

Director

Phone

(435) 896-6446

Specialties & licenses 1

Addresses

Other names 1

• LDS Family Services UT Richfield Agency Doing business as

Part of

LDS Family Services

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.

• Scott Dewey Henderson, LCSW

  • Clinical Social Worker
  • Richfield, UT
  • NPI 1780725275
  NPD (past) Authorized official

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212710400000",
    "number": "1497800742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "681 NORTH MAIN",
            "city": "RICHFIELD",
            "state": "UT",
            "postal_code": "84701",
            "telephone_number": "435-896-6446",
            "fax_number": "435-896-8769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "681 NORTH MAIN",
            "city": "RICHFIELD",
            "state": "UT",
            "postal_code": "84701",
            "telephone_number": "435-896-6446",
            "fax_number": "435-896-8769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LDS FAMILY SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LDS FAMILY SERVICES",
        "enumeration_date": "2007-01-25",
        "last_updated": "2008-06-06",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "435-896-6446",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "UT",
            "license": "870641904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LDS Family Services UT Richfield Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Holly Kunzler, LPC
• Patrick John Kunzler, DMD
• Richard Clark Kunzler, DDS
• Jay M Langford, DPT
• Bryant Laughbon, BT
• Yvonne E Leavitt, RN
• Aaron Lee, D.D.S
• Karlee Lefevre
• Life Included
• Lin's Supermarkets Inc

• Mental Health Clinic/Center (Including Community Mental Health Center) in Richfield, UT
• Providers in Richfield, UT by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2008; 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.