Encircle Family and Youth Resource Center

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

ENCIRCLE FAMILY AND YOUTH RESOURCE CENTER

Practice address

331 S 600 E
Salt Lake City, UT 84102-4013

Phone

(801) 610-6720

NPI assigned

Mar 12, 2019

Organization subpart

No

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

Authorized official

Name

Landon Creer

Title

Cdo

Phone

(801) 610-6720

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1552348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552348800000",
    "number": "1619435344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 S 600 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841024013",
            "telephone_number": "801-610-6720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 S 600 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841024013",
            "telephone_number": "801-610-6720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENCIRCLE FAMILY AND YOUTH RESOURCE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-12",
        "last_updated": "2019-03-12",
        "status": "A",
        "authorized_official_last_name": "CREER",
        "authorized_official_first_name": "LANDON",
        "authorized_official_title_or_position": "CDO",
        "authorized_official_telephone_number": "801-610-6720"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2019; 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.