NPIMap

Organization Active NPI

Embracing Authenticity Inc

  • Multi-Specialty Clinic/Center
  • Logan, UT
National Provider Identifier
1558129221
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
EMBRACING AUTHENTICITY INC
Practice address
95 Golf Course Rd Ste 105
Logan, UT 84321-5990
Phone
(435) 915-6398
NPI assigned
Mar 7, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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

Authorized official

Name
Dr. Carly D.L. Lebaron, PH.D., LMFTNPI 1013340801
Title
President/Ceo
Phone
(435) 915-6398

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
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

95 Golf Course Rd Ste 105
Logan, UT 84321-5990

Mailing address

576 N 470 E
Providence, UT 84332-8901
Phone (435) 764-5186

Other names 1

  • New Beginnings Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

95 Golf Course Rd
Ste 105
Logan, UT 84321
Phone (435) 210-5713

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1709769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709769600000",
    "number": "1558129221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "576 N 470 E",
            "city": "PROVIDENCE",
            "state": "UT",
            "postal_code": "843328901",
            "telephone_number": "435-764-5186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 GOLF COURSE RD STE 105",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843215990",
            "telephone_number": "435-915-6398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBRACING AUTHENTICITY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-07",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A",
        "authorized_official_last_name": "LEBARON",
        "authorized_official_first_name": "CARLY",
        "authorized_official_middle_name": "D.L.",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "435-915-6398",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Beginnings Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Logan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.