Active NPI
A New Direction Recovery and Wellness, LLC
- Multi-Specialty Clinic/Center
- Salt Lake City, UT
National Provider Identifier
1780041772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- A NEW DIRECTION RECOVERY AND WELLNESS, LLC
- Practice address
- 1516 S 1100 E
Lower Suite N
Salt Lake City, UT 84105-2425 - Phone
- (801) 709-0748
- NPI assigned
- Jan 21, 2016
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Staci M Robinson, CMHC
- Title
- Owner/Executive Director
- Phone
- (801) 703-5036
National Provider Directory
National Provider DirectoryLocations
1516 S 1100 E
Lowr
Salt Lake City, UT 84105
Phone (801) 709-0748
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 79071956004 | UT | |
| Multi-Specialty Clinic/Center | 261QM1300X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1516 S 1100 E
Lower Suite N
Salt Lake City, UT 84105-2425
Mailing address
1516 S 1100 E
Lower Suite N
Salt Lake City, UT 84105-2425
Phone (801) 709-0748
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 27, 2016.
{
"created_epoch": "1453334400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1474934400000",
"number": "1780041772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1516 S 1100 E",
"address_2": "LOWER SUITE N",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841052425",
"telephone_number": "801-709-0748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1516 S 1100 E",
"address_2": "LOWER SUITE N",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841052425",
"telephone_number": "801-709-0748"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "A NEW DIRECTION RECOVERY AND WELLNESS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-01-21",
"last_updated": "2016-09-27",
"status": "A",
"authorized_official_last_name": "ROBINSON",
"authorized_official_first_name": "STACI",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER/EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "801-703-5036",
"authorized_official_credential": "CMHC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "UT",
"license": "79071956004",
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.