Corner Canyon Recovery, LLC

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

Legal business name

CORNER CANYON RECOVERY, LLC

Practice address

13020 S Fort St
Draper, UT 84020-9294

Phone

(801) 994-6735

Fax

(801) 384-0820

NPI assigned

Oct 29, 2021

Organization subpart

Yes

Parent organization

CORNER CANYON RECOVERY, LLCAs reported in NPPES

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

Authorized official

Name

Mr. Bradley Randall Christensen

Title

Chief People Officer

Phone

(801) 994-6735

Specialties & licenses 14

Addresses

Other identifiers 3

Other names 1

• Corner Canyon Health Centers Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Corner Canyon Recovery LLC3 organizations share this tax ID, including this one

Part of

Corner Canyon Recovery LLC

Other organizations with this tax ID 2

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

• Corner Canyon Recovery, LLC

  • Adult Mental Health Clinic/Center
  • Draper, UT
  • NPI 1225896863
  NPD tax ID
• Corner Canyon Recovery, LLC

  • Psychiatric Residential Treatment Facility
  • Draper, UT
  • NPI 1558876961
  NPD tax ID

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

{
    "created_epoch": "1635465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739404800000",
    "number": "1730843293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13020 S FORT ST",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840209294",
            "telephone_number": "801-994-1849",
            "fax_number": "801-384-0820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13020 S FORT ST",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840209294",
            "telephone_number": "801-994-6735",
            "fax_number": "801-384-0820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNER CANYON RECOVERY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CORNER CANYON RECOVERY, LLC",
        "enumeration_date": "2021-10-29",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A",
        "authorized_official_last_name": "CHRISTENSEN",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "RANDALL",
        "authorized_official_title_or_position": "CHIEF PEOPLE OFFICER",
        "authorized_official_telephone_number": "801-994-6735",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "107411",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "107410",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "107170",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Corner Canyon Health Centers",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Corner Canyon Health Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Corner Canyon Chiropractic
• Corner Canyon Counseling
• Corner Canyon Pain & Medicine
• Corner Canyon Recovery, LLC
• Corner Canyon Recovery, LLC
• Ethan Coronel
• Amy Costa
• Cottonwood Diagnostics LLP
• Suzanne Covey, RN
• Amy Covington

• Psychiatric Residential Treatment Facility in Draper, UT
• Providers in Draper, UT by specialty
• Psychiatric Residential Treatment Facility in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.