Organization Active NPI

Mind and Body Integrative Healing Center

  • Mental Health Counselor
  • Taylorsville, UT
National Provider Identifier
1689198715
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MIND AND BODY INTEGRATIVE HEALING CENTER
Doing business as
Integrative Healing Centers of Utah
Practice address
2860 W 4700 S Ste B
Taylorsville, UT 84129-2159
Phone
(801) 590-8129
Fax
(801) 905-1258
NPI assigned
Jul 31, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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

Authorized official

Name
James Wattson McClure
Title
Owner Partner
Phone
(801) 590-8129

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

2860 W 4700 S Ste B
Taylorsville, UT 84129-2159

Mailing address

1935 W 4700 S Ste 330
Taylorsville, UT 84129-1105
Phone (801) 590-8129

Other names 1

  • Integrative Healing Centers of Utah Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1501459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641254400000",
    "number": "1689198715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1935 W 4700 S STE 330",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841291105",
            "telephone_number": "801-590-8129",
            "fax_number": "801-905-1258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2860 W 4700 S STE B",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841292159",
            "telephone_number": "801-590-8129",
            "fax_number": "801-905-1258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND AND BODY INTEGRATIVE HEALING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-31",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A",
        "authorized_official_last_name": "MCCLURE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "WATTSON",
        "authorized_official_title_or_position": "OWNER PARTNER",
        "authorized_official_telephone_number": "801-590-8129"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrative Healing Centers of Utah",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Taylorsville, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.