NPIMap

Organization Active NPI

Alpine Counseling Center

  • Psychologist
  • American Fork, UT
National Provider Identifier
1649515834
Registry record updated Nov 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1962 Issued in UT
Legal business name
ALPINE COUNSELING CENTER
Practice address
475 W 50 N
American Fork, UT 84003-2265
Phone
(801) 756-3664
Fax
(801) 756-3698
NPI assigned
Nov 29, 2012
Last updated
Nov 29, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2012

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

Authorized official

Name
Douglas Nielsen, PH.DNPI 1548323025
Title
President
Phone
(801) 756-3664

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
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 1962 UT Primary

Addresses

Primary practice location

475 W 50 N
American Fork, UT 84003-2265

Mailing address

475 W 50 N
American Fork, UT 84003-2265
Phone (801) 756-3664

National Provider Directory

National Provider Directory

Locations

475 W 50 N
American Fork, UT 84003
Phone (801) 756-3664

234 E Saint George Blvd
St George, UT 84770
Phone (435) 313-0847

Practitioners & affiliated clinicians

Practitioners 11

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": "1354147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354147200000",
    "number": "1649515834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 W 50 N",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840032265",
            "telephone_number": "801-756-3664",
            "fax_number": "801-756-3698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 W 50 N",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840032265",
            "telephone_number": "801-756-3664",
            "fax_number": "801-756-3698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPINE COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-29",
        "last_updated": "2012-11-29",
        "status": "A",
        "authorized_official_last_name": "NIELSEN",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-756-3664",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "UT",
            "license": "1962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in American Fork, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2012; 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.