NPIMap

Organization Active NPI

Jordan West Family Counseling Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • West Jordan, UT
National Provider Identifier
1508811480
Registry record updated Jun 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
52044 Issued in UT
Legal business name
JORDAN WEST FAMILY COUNSELING INC
Doing business as
Jordan West Family Counseling INC
Practice address
9263B Redwood Rd
West Jordan, UT 84088
Phone
(801) 566-0749
Fax
(801) 566-7108
NPI assigned
May 22, 2006
Last updated
Jun 19, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2018

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

Authorized official

Name
Ms. Betty J. Owen, LCSWNPI 1295877512
Title
Clinical Director
Phone
(801) 566-0749

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 52044 UT Primary

Addresses

Primary practice location

9263B Redwood Rd
West Jordan, UT 84088

Mailing address

9263B Redwood Rd
West Jordan, UT 84088-6571
Phone (801) 566-0749

Other names 1

  • Jordan West Family Counseling INC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050315000598 UT Part B Supplier - Clinic/Group Practice 4688629439 Practice locations: West Jordan, UT

National Provider Directory

National Provider Directory

Locations

9253 S Redwood Rd
Ste B
West Jordan, UT 84088
Phone (801) 318-5879

9263 S Redwood Rd
West Jordan, UT 84088
Phone (801) 566-0749

9263 S Redwood Rd
#B
West Jordan, UT 84088
Phone (801) 566-0749

9263B S Redwood Rd
West Jordan, UT 84088
Phone (801) 566-0749

Practitioners & affiliated clinicians

Practitioners 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529366400000",
    "number": "1508811480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9263B REDWOOD RD",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840886571",
            "telephone_number": "801-566-0749",
            "fax_number": "801-566-7108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9263B REDWOOD RD",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "84088",
            "telephone_number": "801-566-0749",
            "fax_number": "801-566-7108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORDAN WEST FAMILY COUNSELING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2018-06-19",
        "status": "A",
        "authorized_official_last_name": "OWEN",
        "authorized_official_first_name": "BETTY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "801-566-0749",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "UT",
            "license": "52044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jordan West Family Counseling INC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jordan West Family Counseling INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Jordan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.