Counseling Centers of Utah PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

74078 Issued in UT

Legal business name

COUNSELING CENTERS OF UTAH PLLC

Practice address

9192 S 300 W Ste 19
Sandy, UT 84070-2673

Phone

(801) 558-7054

Fax

(801) 523-9239

NPI assigned

Mar 28, 2013

Last updated

Apr 24, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Perriann Parks BeyersNPI 1629005665

Title

Owner

Phone

(801) 558-7054

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Locations

Practitioners 2

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.

• Perriann Parks Beyers, LCSW/MFT

  • Clinical Social Worker
  • Sandy, UT
  • NPI 1629005665
  Medicare reassignment NPD Authorized official
• Stephen Beyers, LPC

  • Mental Health Counselor
  • Sandy, UT
  • NPI 1043552292
  NPD (past)

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

{
    "created_epoch": "1364428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587686400000",
    "number": "1699018622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "456 E BREWSTER DR",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840205151",
            "telephone_number": "801-558-7054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9192 S 300 W STE 19",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840702673",
            "telephone_number": "801-558-7054",
            "fax_number": "801-523-9239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING CENTERS OF UTAH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-28",
        "last_updated": "2020-04-24",
        "certification_date": "2020-04-24",
        "status": "A",
        "authorized_official_last_name": "BEYERS",
        "authorized_official_first_name": "PERRIANN",
        "authorized_official_middle_name": "PARKS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-558-7054"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "UT",
            "license": "74078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINICAL SOCIAL WORK",
            "identifier": "1041C0700X",
            "state": "UT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "simplepractice",
            "affiliation": "N",
            "address_1": "9192 S 300 W Ste 19",
            "city": "Sandy",
            "state": "UT",
            "country_code": "US",
            "postal_code": "840702673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Community/Behavioral Health Agency in Sandy, UT
• Providers in Sandy, UT by specialty
• Community/Behavioral Health Agency in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.