Douglas Jared Ivie, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

12435975-3501 Issued in UT

Practice address

801 E Redmaple Rd # 1
Millcreek, UT 84106-1541

Phone

(503) 975-6095

NPI assigned

Nov 3, 2011

Last updated

Mar 17, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2009

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Beehive Mental Health LLC

  • Clinical Social Worker
  • Midvale, UT
  • NPI 1912787870
  Medicare reassignment NPD
• Mammoth Mental Health LLC

  dba Ellie Mental Health

  • Psychologist
  • Lehi, UT
  • NPI 1831832757

  Mental Health

  NPD
• Next Step Counseling and Coaching

  dba Influence Therapy & Coaching

  • Mental Health Counselor
  • Taylorsville, UT
  • NPI 1154152460
  NPD (past)
• Clackamas County

  dba DSB Behavioral Health

  • Federally Qualified Health Center (FQHC)
  • Oregon City, OR
  • NPI 1841443587
  NPD (past)
• County of Clackamas Office of County Auditor

  dba Hilltop Behavioral Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Milwaukie, OR
  • NPI 1245269315
  NPD (past)

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

{
    "created_epoch": "1320278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1720365844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 E REDMAPLE RD # 1",
            "city": "MILLCREEK",
            "state": "UT",
            "postal_code": "841061541",
            "telephone_number": "503-975-6095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E REDMAPLE RD # 1",
            "city": "MILLCREEK",
            "state": "UT",
            "postal_code": "841061541",
            "telephone_number": "503-975-6095"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "849 W Levoy Dr Ste 108",
            "address_purpose": "LOCATION",
            "city": "Taylorsville",
            "state": "UT",
            "postal_code": "841232599",
            "country_code": "US",
            "telephone_number": "801-405-7450",
            "fax_number": "385-446-2650",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7070 S Union Park Ave Ste 150",
            "address_purpose": "LOCATION",
            "city": "Midvale",
            "state": "UT",
            "postal_code": "840476043",
            "country_code": "US",
            "telephone_number": "801-405-7450",
            "fax_number": "385-446-2650",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3051 W Maple Loop Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Lehi",
            "state": "UT",
            "postal_code": "840486552",
            "country_code": "US",
            "telephone_number": "801-405-7450",
            "fax_number": "385-446-2650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IVIE",
        "first_name": "DOUGLAS",
        "middle_name": "JARED",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-03",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "12435975-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Todd Eric Hudson
• Inner Light Counseling and Healing
• Innovative Surgical Center LLC
• Intermountain Mental Health, Inc.
• Sarah Brown Inwood, RN
• Chris Warren Jankowski
• Shaley Jarvis
• Kayla Jessop, RDN, CDN, CEDS-S
• Carly Jones, LMT
• Journey Mental Health

• Clinical Social Worker in Millcreek, UT
• Providers in Millcreek, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.