Intentional Family Institute

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

INTENTIONAL FAMILY INSTITUTE

Practice address

2936 Lake Mary Dr
Salt Lake City, UT 84121-5331

Phone

(801) 860-9627

NPI assigned

Apr 20, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Susan Villani Johnson, LMFT

Title

Executive Directorq

Phone

(801) 860-9627

Specialties & licenses 1

Addresses

Tax ID family

Intentional Family Institute2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Randy Ray Enterprises LLC

  • Marriage & Family Therapist
  • Salt Lake City, UT
  • NPI 1912234865
  NPD tax ID

Practitioners 1

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

• Susan L. Johnson, L.M.F.T.

  • Marriage & Family Therapist
  • Salt Lake City, UT
  • NPI 1134423544
  NPD (past)

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

{
    "created_epoch": "1240185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240185600000",
    "number": "1750524872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2936 LAKE MARY DR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841215331",
            "telephone_number": "801-860-9627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2936 LAKE MARY DR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841215331",
            "telephone_number": "801-860-9627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTENTIONAL FAMILY INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-20",
        "last_updated": "2009-04-20",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "VILLANI",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTORQ",
        "authorized_official_telephone_number": "801-860-9627",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "UT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Marriage & Family Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2009; 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.