Organization Active NPI

Hearthstone Family Counseling, LLC

  • Community/Behavioral Health Agency
  • American Fork, UT
National Provider Identifier
1689150641
Registry record updated Jul 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
9838277-6004 Issued in UT
Legal business name
HEARTHSTONE FAMILY COUNSELING, LLC
Practice address
578 E 300 S
American Fork, UT 84003-3831
Phone
(801) 763-5010
NPI assigned
Jul 12, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2018

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

Authorized official

Name
Mrs. Melissa Joy Blumell, CMHC
Title
Member/Manager
Phone
(801) 362-9953

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 9838277-6004 UT Primary

Addresses

Primary practice location

578 E 300 S
American Fork, UT 84003-3831

Mailing address

243 Ridge Rd
Orem, UT 84057-7225
Phone (801) 362-9953

Other identifiers 1

IdentifierTypeStateIssuer
1952791741MedicaidUT

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1531353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531353600000",
    "number": "1689150641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 RIDGE RD",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840577225",
            "telephone_number": "801-362-9953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "578 E 300 S",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840033831",
            "telephone_number": "801-763-5010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTHSTONE FAMILY COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-12",
        "last_updated": "2018-07-12",
        "status": "A",
        "authorized_official_last_name": "BLUMELL",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "JOY",
        "authorized_official_title_or_position": "MEMBER/MANAGER",
        "authorized_official_telephone_number": "801-362-9953",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "UT",
            "license": "9838277-6004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1952791741",
            "state": "UT"
        }
    ],
    "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 Jul 12, 2018; 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.