Organization Active NPI

Blue Rose Counseling PLLC

  • Clinical Social Worker
  • Salt Lake City, UT
National Provider Identifier
1699652636
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
BLUE ROSE COUNSELING PLLC
Practice address
6890 S 2300 E # 711002
Salt Lake City, UT 84121-6098
Phone
(801) 252-6856
NPI assigned
Aug 20, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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

Authorized official

Name
Alexis Elizabeth Nouri, LCSWNPI 1467233866
Title
Owner
Phone
(801) 252-6856

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

6890 S 2300 E # 711002
Salt Lake City, UT 84121-6098

Mailing address

6890 S 2300 E # 711002
Salt Lake City, UT 84121-6098
Phone (801) 252-6856

National Provider Directory

National Provider Directory

Locations

6890 S 2300 E
#711002
Salt Lake City, UT 84121
Phone (801) 252-6856

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1755648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758585600000",
    "number": "1699652636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6890 S 2300 E # 711002",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841216098",
            "telephone_number": "801-252-6856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6890 S 2300 E # 711002",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841216098",
            "telephone_number": "801-252-6856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE ROSE COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-20",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A",
        "authorized_official_last_name": "NOURI",
        "authorized_official_first_name": "ALEXIS",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-252-6856",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; 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.