Organization Active NPI

Earthshine Counseling, LLC

  • Counselor
  • Cottonwood Heights, UT
National Provider Identifier
1629653738
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
EARTHSHINE COUNSELING, LLC
Practice address
7050 S Highland Dr Ste 120
Cottonwood Heights, UT 84121-3749
Phone
(385) 800-1818
NPI assigned
Mar 10, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2022

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

Authorized official

Name
Jennifer Panahinia, CMHCNPI 1558708586
Title
Owner/Therapist
Phone
(385) 800-1818

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
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

7050 S Highland Dr Ste 120
Cottonwood Heights, UT 84121-3749

Mailing address

2460 E Camino Way
Cottonwood Heights, UT 84121-4004
Phone (801) 414-5786

National Provider Directory

National Provider Directory

Locations

7050 S Highland Dr
Ste 120
Cottonwood Heights, UT 84121
Phone (385) 800-1818

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": "1615334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662508800000",
    "number": "1629653738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2460 E CAMINO WAY",
            "city": "COTTONWOOD HEIGHTS",
            "state": "UT",
            "postal_code": "841214004",
            "telephone_number": "801-414-5786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7050 S HIGHLAND DR STE 120",
            "city": "COTTONWOOD HEIGHTS",
            "state": "UT",
            "postal_code": "841213749",
            "telephone_number": "385-800-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EARTHSHINE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-10",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A",
        "authorized_official_last_name": "PANAHINIA",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "385-800-1818",
        "authorized_official_credential": "CMHC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cottonwood Heights, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; 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.