NPIMap

Organization Active NPI

Journey Counseling Center Salt Lake LLC

  • Foster Care Agency
  • Sandy, UT
National Provider Identifier
1639506447
Registry record updated Jan 16, 2014
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
741 E 9000 S
Ste 100
Sandy, UT 84094-3085
Phone
(801) 566-1473
NPI assigned
Oct 11, 2013
Organization subpart
Yes
Parent organization
THE JOURNEYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 16, 2014

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

Authorized official

Name
Vicki Goodman
Title
Cfo
Phone
(801) 420-0465

Specialties & licenses 1

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

Addresses

Primary practice location

741 E 9000 S
Ste 100
Sandy, UT 84094-3085

Mailing address

619 N 500 W
Provo, UT 84601-1547
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
Part of
The Journey

Other organizations with this tax ID 1

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

Locations

741 E 9000 S
Ste 100
Sandy, UT 84094
Phone (801) 566-1473

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": "1381449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389830400000",
    "number": "1639506447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 N 500 W",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846011547",
            "telephone_number": "801-375-4240",
            "fax_number": "801-375-4041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "741 E 9000 S",
            "address_2": "STE 100",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840943085",
            "telephone_number": "801-566-1473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOURNEY COUNSELING CENTER SALT LAKE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE JOURNEY",
        "enumeration_date": "2013-10-11",
        "last_updated": "2014-01-16",
        "status": "A",
        "authorized_official_last_name": "GOODMAN",
        "authorized_official_first_name": "VICKI",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "801-420-0465"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "UT",
            "license": "20848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2014; 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.