NPIMap

Organization Active NPI

Riley Individual, Family, and Marriage Counseling LLC

  • Community/Behavioral Health Agency
  • South Jordan, UT
National Provider Identifier
1760716658
Registry record updated Sep 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
4788890-3501 Issued in UT
Legal business name
RILEY INDIVIDUAL, FAMILY, AND MARRIAGE COUNSELING LLC
Practice address
406 W South Jordan Pkwy
Suite 220B
South Jordan, UT 84095-3965
Phone
(801) 657-0163
Fax
(801) 568-7856
NPI assigned
Sep 24, 2009
Last updated
Sep 24, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2009

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

Authorized official

Name
Mrs. Lisa M. Bird
Title
Office Manager
Phone
(801) 657-0163

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 4788890-3501 UT Primary

Addresses

Primary practice location

406 W South Jordan Pkwy
Suite 220B
South Jordan, UT 84095-3965

Mailing address

PO Box 708458
Sandy, UT 84070-8458
Phone (801) 657-0163

National Provider Directory

National Provider Directory

Locations

11075 S State St
Ste 4
Sandy, UT 84070
Phone (801) 657-0163

406 W South Jordan Pkwy
Ste 440
South Jordan, UT 84095
Phone (801) 657-0163

Practitioners & affiliated clinicians

Practitioners 41

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.

View all 41

NPI Registry JSON

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

{
    "created_epoch": "1253750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253750400000",
    "number": "1760716658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 708458",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840708458",
            "telephone_number": "801-657-0163",
            "fax_number": "801-568-7856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 W SOUTH JORDAN PKWY",
            "address_2": "SUITE 220B",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840953965",
            "telephone_number": "801-657-0163",
            "fax_number": "801-568-7856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RILEY INDIVIDUAL, FAMILY, AND MARRIAGE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-24",
        "last_updated": "2009-09-24",
        "status": "A",
        "authorized_official_last_name": "BIRD",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "801-657-0163",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "UT",
            "license": "4788890-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Jordan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.