Organization Active NPI

Mindfully Rooted

  • Clinical Social Worker
  • Salt Lake City, UT
National Provider Identifier
1740195817
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MINDFULLY ROOTED
Practice address
29 S State St Apt 607
Salt Lake City, UT 84111-1514
Phone
(801) 688-4800
NPI assigned
Aug 14, 2026
Last updated
Aug 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2026

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

Authorized official

Name
Grace Miller-Olsen
Title
Owner
Phone
(801) 688-4800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

29 S State St Apt 607
Salt Lake City, UT 84111-1514

Mailing address

29 S State St Apt 607
Salt Lake City, UT 84111-1514

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1786665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786665600000",
    "number": "1740195817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 S STATE ST APT 607",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841111514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 S STATE ST APT 607",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841111514",
            "telephone_number": "801-688-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFULLY ROOTED",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-14",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A",
        "authorized_official_last_name": "MILLER-OLSEN",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-688-4800"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "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 Aug 14, 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.