Individual provider Active NPI

Courtney Connole

  • Marriage & Family Therapist
  • Saratoga Springs, UT
National Provider Identifier
1679336044
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
248089 Issued in UT
Practice address
1022 N Redwood Rd Unit 202
Saratoga Springs, UT 84045-5388
Phone
(801) 341-1919
NPI assigned
Jan 30, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 248089 UT Primary

Addresses

Primary practice location

1022 N Redwood Rd Unit 202
Saratoga Springs, UT 84045-5388

Mailing address

1022 N Redwood Rd Unit 202
Saratoga Springs, UT 84045-5388
Phone (801) 341-1919

Other names 1

  • Courtney Bartholomew Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
248089UTMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1706572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1679336044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 N REDWOOD RD UNIT 202",
            "city": "SARATOGA SPRINGS",
            "state": "UT",
            "postal_code": "840455388",
            "telephone_number": "801-341-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1022 N REDWOOD RD UNIT 202",
            "city": "SARATOGA SPRINGS",
            "state": "UT",
            "postal_code": "840455388",
            "telephone_number": "801-341-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNOLE",
        "first_name": "COURTNEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-30",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "UT",
            "license": "248089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "BARTHOLOMEW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saratoga Springs, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; 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.