Active NPI
Mind Your Nature
- Mental Health Counselor
- Park City, UT
National Provider Identifier
1730420548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 120742-600490
- Legal business name
- MIND YOUR NATURE
- Practice address
- 1700 Park Ave Ste 2065
Park City, UT 84060-5162 - Phone
- (435) 659-4508
- Fax
- (435) 214-2529
- NPI assigned
- Mar 5, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Janice M. Speicher, CMHC
- Title
- President
- Phone
- (435) 659-4508
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 120742-600490 | UT | Primary |
| Mental Health Counselor | 101YM0800X | 6647064-6004 | UT |
Addresses
Primary practice location
1700 Park Ave Ste 2065
Park City, UT 84060-5162
Mailing address
PO Box 981145
1700 Park Ave #2065
Park City, UT 84098-1145
Phone (435) 659-4508
National Provider Directory
National Provider DirectoryLocations
1700 Park Ave
Ste 2065
Park City, UT 84060
Phone (435) 649-2430
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Park City, UT
- NPI 1689932154
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362441600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1362441600000",
"number": "1730420548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 981145",
"address_2": "1700 PARK AVE #2065",
"city": "PARK CITY",
"state": "UT",
"postal_code": "840981145",
"telephone_number": "435-659-4508",
"fax_number": "435-214-2529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 PARK AVE STE 2065",
"city": "PARK CITY",
"state": "UT",
"postal_code": "840605162",
"telephone_number": "435-659-4508",
"fax_number": "435-214-2529"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIND YOUR NATURE",
"organizational_subpart": "NO",
"enumeration_date": "2013-03-05",
"last_updated": "2013-03-05",
"status": "A",
"authorized_official_last_name": "SPEICHER",
"authorized_official_first_name": "JANICE",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "435-659-4508",
"authorized_official_credential": "CMHC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "UT",
"license": "120742-600490",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "UT",
"license": "6647064-6004",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Park 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, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.