Organization Active NPI

Blackriver Consulting, P.C.

  • Clinical Social Worker
  • Murray, UT
National Provider Identifier
1609014000
Registry record updated Mar 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
139307-3501 Issued in UT
Legal business name
BLACKRIVER CONSULTING, P.C.
Practice address
5801 Fashion Blvd
Suite 250
Murray, UT 84107-6159
Phone
(801) 596-0147
Fax
(801) 716-4049
NPI assigned
Jan 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2011

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

Authorized official

Name
Christopher Alan Robertson, L.C.S.W.
Title
President
Phone
(801) 596-0147

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 139307-3501 UT Primary

Addresses

Primary practice location

5801 Fashion Blvd
Suite 250
Murray, UT 84107-6159

Mailing address

5801 Fashion Blvd
Suite 250
Murray, UT 84107-6159
Phone (801) 596-0147

National Provider Directory

National Provider Directory

Locations

989 E 900 S
Ste A2
Salt Lake City, UT 84105
Phone (801) 596-0147

Practitioners & affiliated clinicians

Practitioners 3

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": "1232668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299628800000",
    "number": "1609014000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5801 FASHION BLVD",
            "address_2": "SUITE 250",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841076159",
            "telephone_number": "801-596-0147",
            "fax_number": "801-716-4049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 FASHION BLVD",
            "address_2": "SUITE 250",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841076159",
            "telephone_number": "801-596-0147",
            "fax_number": "801-716-4049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACKRIVER CONSULTING, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-23",
        "last_updated": "2011-03-09",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-596-0147",
        "authorized_official_credential": "L.C.S.W."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "139307-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2011; 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.