Courageous Corner

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

COURAGEOUS CORNER

Practice address

10929 S Redwood Rd Ste 213
South Jordan, UT 84095-8204

Phone

(801) 210-9993

NPI assigned

Nov 23, 2020

Last updated

Nov 23, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Andrea Moore, LCSWNPI 1669832705

Title

Owner, LCSW

Phone

(801) 210-9993

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Andrea Moore

  • Clinical Social Worker
  • Salt Lake City, UT
  • NPI 1669832705
  NPD Authorized official

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

{
    "created_epoch": "1606089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606089600000",
    "number": "1740884642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10929 S REDWOOD RD STE 213",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840958204",
            "telephone_number": "801-210-9993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10929 S REDWOOD RD STE 213",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840958204",
            "telephone_number": "801-210-9993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COURAGEOUS CORNER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-23",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "OWNER, LCSW",
        "authorized_official_telephone_number": "801-210-9993",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Cosgrave II, D.O.
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• Kevin Cottle, APRN
• Justin Couraud
• Kristi Couse, LMT, MMP
• Savannah Grace Seninger Cowley, LCSW
• Cynthia Cox, ATC, CSCS
• Matthew Nelson Cox, M.D.

• Community/Behavioral Health Agency in South Jordan, UT
• Providers in South Jordan, UT by specialty
• Community/Behavioral Health Agency in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2020; 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.