Aspire Riverdale Brookhaven LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

ASPIRE RIVERDALE BROOKHAVEN LLC

Practice address

4933 S 1500 W Ste 200
Riverdale, UT 84405-7738

Phone

(801) 525-4645

Fax

(801) 779-7808

NPI assigned

Aug 10, 2022

Last updated

Aug 10, 2022By 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

Marlene Kinikini

Title

President

Phone

(801) 628-5577

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1660089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660089600000",
    "number": "1750019642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4933 S 1500 W STE 200",
            "city": "RIVERDALE",
            "state": "UT",
            "postal_code": "844057738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4933 S 1500 W STE 200",
            "city": "RIVERDALE",
            "state": "UT",
            "postal_code": "844057738",
            "telephone_number": "801-525-4645",
            "fax_number": "801-779-7808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPIRE RIVERDALE BROOKHAVEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-10",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A",
        "authorized_official_last_name": "KINIKINI",
        "authorized_official_first_name": "MARLENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-628-5577"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Counselor in Riverdale, UT
• Providers in Riverdale, UT by specialty
• Counselor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; 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.