Organization Active NPI

Alpine Center for Personal Growth LLC

  • Clinical Social Worker
  • Salt Lake City, UT
National Provider Identifier
1730366758
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
365654-3501 Issued in UT
Legal business name
ALPINE CENTER FOR PERSONAL GROWTH LLC
Practice address
5689 S Redwood Rd Unit 30
Salt Lake City, UT 84123-5499
Phone
(801) 359-4884
Fax
(801) 532-1052
NPI assigned
Jan 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Authorized official

Name
Amanda Kendzior
Title
Ceo
Phone
(801) 268-1715

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 365654-3501 UT Primary

Addresses

Primary practice location

5689 S Redwood Rd Unit 30
Salt Lake City, UT 84123-5499

Mailing address

5689 S Redwood Rd Unit 30
Salt Lake City, UT 84123-5499
Phone (801) 359-4884

National Provider Directory

National Provider Directory
Tax ID family
Alpine Center for Personal Growth2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785369600000",
    "number": "1730366758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5689 S REDWOOD RD UNIT 30",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841235499",
            "telephone_number": "801-359-4884",
            "fax_number": "801-532-1052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5689 S REDWOOD RD UNIT 30",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841235499",
            "telephone_number": "801-359-4884",
            "fax_number": "801-532-1052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPINE CENTER FOR PERSONAL GROWTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-22",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A",
        "authorized_official_last_name": "KENDZIOR",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "801-268-1715"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "365654-3501",
            "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 Jul 30, 2026; 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.