Organization Active NPI

Connecting Place Counseling Center PLLC

  • Community/Behavioral Health Agency
  • Lehi, UT
National Provider Identifier
1699955393
Registry record updated Mar 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
6774648-0162 Issued in UT
Legal business name
CONNECTING PLACE COUNSELING CENTER PLLC
Practice address
3375 W Mayflower Way Ste a
Lehi, UT 84043-3135
Phone
(801) 768-1725
Fax
(888) 891-8164
NPI assigned
Nov 9, 2007
Last updated
Mar 13, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2020

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

Authorized official

Name
Dustin Matthew Bassett, L.C.S.W.NPI 1205867439
Title
Owner/Cheif Therapist
Phone
(801) 768-1725

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
Community/Behavioral Health Agency 251S00000X 6774648-0162 UT Primary

Addresses

Primary practice location

3375 W Mayflower Way Ste a
Lehi, UT 84043-3135

Mailing address

2845 Willow Way
Lehi, UT 84043-5164
Phone (801) 768-1725

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080111000512 UT Part B Supplier - Clinic/Group Practice 7214018696 Receives reassigned benefits from 1 practitioner
Practice locations: Lehi, UT

National Provider Directory

National Provider Directory

Locations

155 W Main St
#B
Lehi, UT 84043
Phone (801) 768-1725

3375 W Mayflower Ave
Ste A
Lehi, UT 84048
Phone (801) 230-4383

3668 W 2150 N
Ste 100
Lehi, UT 84048
Phone (801) 922-9222

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1194566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584057600000",
    "number": "1699955393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2845 WILLOW WAY",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840435164",
            "telephone_number": "801-768-1725",
            "fax_number": "801-768-1725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3375 W MAYFLOWER WAY STE A",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840433135",
            "telephone_number": "801-768-1725",
            "fax_number": "888-891-8164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTING PLACE COUNSELING CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-09",
        "last_updated": "2020-03-13",
        "certification_date": "2020-03-13",
        "status": "A",
        "authorized_official_last_name": "BASSETT",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER/CHEIF THERAPIST",
        "authorized_official_telephone_number": "801-768-1725",
        "authorized_official_credential": "L.C.S.W."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "UT",
            "license": "6774648-0162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehi, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.