Organization Active NPI

Merritt W Stites LCSW PC

  • Mental Health Counselor
  • Salt Lake City, UT
National Provider Identifier
1700020237
Registry record updated Mar 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
132817-3501 Issued in UT
Legal business name
MERRITT W STITES LCSW PC
Practice address
559 10TH Ave
Salt Lake City, UT 84103-3108
Phone
(801) 359-2240
Fax
(801) 364-1433
NPI assigned
Apr 28, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2012

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

Authorized official

Name
Merritt W Stites, LCSW
Title
Owner
Phone
(801) 359-2240

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 132817-3501 UT Primary

Addresses

Primary practice location

559 10TH Ave
Salt Lake City, UT 84103-3108

Mailing address

559 10TH Ave
Salt Lake City, UT 84103-3108
Phone (801) 359-2240

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1240876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330905600000",
    "number": "1700020237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "559 10TH AVE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841033108",
            "telephone_number": "801-359-2240",
            "fax_number": "801-364-1433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "559 10TH AVE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841033108",
            "telephone_number": "801-359-2240",
            "fax_number": "801-364-1433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERRITT W STITES LCSW PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-28",
        "last_updated": "2012-03-05",
        "status": "A",
        "authorized_official_last_name": "STITES",
        "authorized_official_first_name": "MERRITT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-359-2240",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "132817-3501",
            "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 Mar 5, 2012; 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.