Organization Active NPI

Wellness Hub LLC

Doing business as Wellness Hub

  • Mental Health Counselor
  • Holladay, UT
National Provider Identifier
1518705375
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
WELLNESS HUB LLC
Doing business as
Wellness Hub
Practice address
4525 S 2300 E Ste 102
Holladay, UT 84117-4682
Phone
(801) 210-0146
NPI assigned
Jul 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Authorized official

Name
Brahm Alexander GordonNPI 1659558658
Title
Owner
Phone
(801) 637-5977

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

4525 S 2300 E Ste 102
Holladay, UT 84117-4682

Mailing address

4525 S 2300 E Ste 102
Holladay, UT 84117-4682
Phone (801) 637-5977

Other names 1

  • Wellness Hub Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1721088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721088000000",
    "number": "1518705375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4525 S 2300 E STE 102",
            "city": "HOLLADAY",
            "state": "UT",
            "postal_code": "841174682",
            "telephone_number": "801-637-5977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4525 S 2300 E STE 102",
            "city": "HOLLADAY",
            "state": "UT",
            "postal_code": "841174682",
            "telephone_number": "801-210-0146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS HUB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-16",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "BRAHM",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-637-5977"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellness Hub",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Holladay, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; 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.