Organization Active NPI

Adolescence to Adulthood Counseling

  • Community/Behavioral Health Agency
  • North Salt Lake, UT
National Provider Identifier
1740508993
Registry record updated May 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
16382 Issued in UT
Legal business name
ADOLESCENCE TO ADULTHOOD COUNSELING
Practice address
640 N Main St
Suite 1474
North Salt Lake, UT 84054-2162
Phone
(801) 891-0400
Fax
(801) 298-0846
NPI assigned
May 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2010

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

Authorized official

Name
Mr. Kenneth L Hull, LPCNPI 1144559857
Title
Qwner / Clinical Director
Phone
(801) 891-0400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 16382 UT Primary

Addresses

Primary practice location

640 N Main St
Suite 1474
North Salt Lake, UT 84054-2162

Mailing address

PO Box 540724
North Salt Lake, UT 84054-0724
Phone (801) 791-0400

National Provider Directory

National Provider Directory

Locations

640 N Main St
Ste 1474
North Salt Lake, UT 84054
Phone (801) 891-0400

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1273622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273622400000",
    "number": "1740508993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 540724",
            "city": "NORTH SALT LAKE",
            "state": "UT",
            "postal_code": "840540724",
            "telephone_number": "801-791-0400",
            "fax_number": "801-298-0846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 N MAIN ST",
            "address_2": "SUITE 1474",
            "city": "NORTH SALT LAKE",
            "state": "UT",
            "postal_code": "840542162",
            "telephone_number": "801-891-0400",
            "fax_number": "801-298-0846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADOLESCENCE TO ADULTHOOD COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-12",
        "last_updated": "2010-05-12",
        "status": "A",
        "authorized_official_last_name": "HULL",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "QWNER / CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "801-891-0400",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "UT",
            "license": "16382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Salt Lake, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2010; 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.