NPIMap

Organization Active NPI

Journey Counseling Center Salt Lake LLC

  • Foster Care Agency
  • Provo, UT
National Provider Identifier
1619399144
Registry record updated Mar 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foster Care AgencyTaxonomy code 253J00000X
License
20848 Issued in UT
Legal business name
JOURNEY COUNSELING CENTER SALT LAKE LLC
Practice address
920 Columbia LN
Provo, UT 84604-1320
Phone
(801) 375-4240
Fax
(801) 375-4241
NPI assigned
Jan 17, 2014
Last updated
Mar 29, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2017

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

Authorized official

Name
Madolyn Liebing
Title
Quality Assurance Director
Phone
(801) 361-4070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foster Care Agency 253J00000X 20848 UT Primary

Addresses

Primary practice location

920 Columbia LN
Provo, UT 84604-1320

Mailing address

PO Box 50178
Provo, UT 84605-0178
Phone (801) 375-4240

National Provider Directory

National Provider Directory
Tax ID family
Journey Counseling Center Salt Lake LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1389916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490745600000",
    "number": "1619399144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50178",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846050178",
            "telephone_number": "801-375-4240",
            "fax_number": "801-375-4241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 COLUMBIA LN",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846041320",
            "telephone_number": "801-375-4240",
            "fax_number": "801-375-4241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOURNEY COUNSELING CENTER SALT LAKE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-17",
        "last_updated": "2017-03-29",
        "status": "A",
        "authorized_official_last_name": "LIEBING",
        "authorized_official_first_name": "MADOLYN",
        "authorized_official_title_or_position": "QUALITY ASSURANCE DIRECTOR",
        "authorized_official_telephone_number": "801-361-4070"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "UT",
            "license": "20848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Provo, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2017; 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.