Active NPI
Rural Therapy Network
- Mental Health Counselor
- Salt Lake City, UT
National Provider Identifier
1558114348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- RURAL THERAPY NETWORK
- Practice address
- 343 N 300 W
Salt Lake City, UT 84103-1215 - Phone
- (406) 272-2440
- NPI assigned
- Apr 10, 2024
- Last updated
- Jun 18, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Malia Kealana Burgess
- Title
- Owner
- Phone
- (406) 272-2440
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Mental Health Counselor | 101YM0800X | Primary | ||
| Clinical Social Worker | 1041C0700X | |||
| Marriage & Family Therapist | 106H00000X |
Addresses
Primary practice location
343 N 300 W
Salt Lake City, UT 84103-1215
Mailing address
1935 W 4700 S # 322
Taylorsville, UT 84129-1105
Phone (406) 272-2440
National Provider Directory
National Provider DirectoryLocations
343 N 300 W
Salt Lake City, UT 84103
Phone (406) 272-2440
1935 W 4700 S
Taylorsville, UT 84129
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": "1712707200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1718668800000",
"number": "1558114348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1935 W 4700 S # 322",
"city": "TAYLORSVILLE",
"state": "UT",
"postal_code": "841291105",
"telephone_number": "406-272-2440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "343 N 300 W",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841031215",
"telephone_number": "406-272-2440"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RURAL THERAPY NETWORK",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-10",
"last_updated": "2024-06-18",
"certification_date": "2024-06-18",
"status": "A",
"authorized_official_last_name": "BURGESS",
"authorized_official_first_name": "MALIA",
"authorized_official_middle_name": "KEALANA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "406-272-2440"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.