Conquer the Enemy Counseling LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

CONQUER THE ENEMY COUNSELING LLC

Practice address

1034 W Rsi Dr
Unit 100, Office C
Logan, UT 84321

Phone

(801) 628-2169

NPI assigned

Jul 9, 2024

Organization subpart

No

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

Authorized official

Name

Victor Samuel Zizumbo, LCSWNPI 1013655653

Title

Owner/Therapist

Phone

(801) 628-2169

Specialties & licenses 1

Addresses

Practitioners 1

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

• Victor Samuel Zizumbo, CSW

  • Clinical Social Worker
  • Salt Lake City, UT
  • NPI 1013655653
  NPD Authorized official

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

{
    "created_epoch": "1720483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720483200000",
    "number": "1720825664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3280 S HUNTER FARM WAY",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841281143",
            "telephone_number": "801-628-2169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 W RSI DR",
            "address_2": "UNIT 100, OFFICE C",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "84321",
            "telephone_number": "801-628-2169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONQUER THE ENEMY COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-09",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A",
        "authorized_official_last_name": "ZIZUMBO",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "SAMUEL",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "801-628-2169",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Logan, UT
• Providers in Logan, UT by specialty
• Mental Health Counselor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; 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.