NPIMap

Organization Active NPI

Peach Tree Counseling, LLC

  • Counselor
  • South Jordan, UT
National Provider Identifier
1528763265
Registry record updated Apr 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
PEACH TREE COUNSELING, LLC
Practice address
1206 W South Jordan Pkwy Ste C
South Jordan, UT 84095-5511
Phone
(385) 253-8002
Fax
(385) 275-0017
NPI assigned
Apr 3, 2023
Last updated
Apr 3, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2023

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

Authorized official

Name
Stephanie Heinhold, LCSWNPI 1083213383
Title
LCSW/Owner
Phone
(678) 478-4217

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
Counselor 101Y00000X NU Primary

Addresses

Primary practice location

1206 W South Jordan Pkwy Ste C
South Jordan, UT 84095-5511

Mailing address

1206 W South Jordan Pkwy Ste C
South Jordan, UT 84095-5511
Phone (385) 253-8002

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": "1680480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680480000000",
    "number": "1528763265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 W SOUTH JORDAN PKWY STE C",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840955511",
            "telephone_number": "385-253-8002",
            "fax_number": "385-275-0017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 W SOUTH JORDAN PKWY STE C",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840955511",
            "telephone_number": "385-253-8002",
            "fax_number": "385-275-0017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACH TREE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-03",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A",
        "authorized_official_last_name": "HEINHOLD",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "LCSW/OWNER",
        "authorized_official_telephone_number": "678-478-4217",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Jordan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.