Creators Legacy Homes LLC

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Legal business name

CREATORS LEGACY HOMES LLC

Practice address

332 W Harvard Dr
Midvale, UT 84047-7582

Phone

(801) 946-2323

NPI assigned

Jul 22, 2026

Last updated

Jul 22, 2026By 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

Matthew Joseph Vicario, CMHCNPI 1548561277

Title

Clinical Director

Phone

(801) 946-2323

Specialties & licenses 4

Addresses

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.

• Matthew Joseph Vicario, CMHC

  • Professional Counselor
  • Salt Lake City, UT
  • NPI 1548561277
  Authorized official Same address or phone

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

{
    "created_epoch": "1784678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784678400000",
    "number": "1770404279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "636 S 40 E",
            "city": "SALEM",
            "state": "UT",
            "postal_code": "846539530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 W HARVARD DR",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840477582",
            "telephone_number": "801-946-2323"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6541 S Cottonwood St",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841077007",
            "country_code": "US",
            "telephone_number": "801-946-2323",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "141 E 5600 S Ste 209",
            "address_purpose": "LOCATION",
            "city": "Murray",
            "state": "UT",
            "postal_code": "841078126",
            "country_code": "US",
            "telephone_number": "801-946-2323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CREATORS LEGACY HOMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-22",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A",
        "authorized_official_last_name": "VICARIO",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "801-946-2323",
        "authorized_official_credential": "CMHC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph G Cramer, MD
• Wayne Grant Crawford, PA-C
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• Peer Specialist in Midvale, UT
• Providers in Midvale, UT by specialty
• Peer Specialist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; 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.