Organization Active NPI

A New Direction Recovery and Wellness, LLC

  • Multi-Specialty Clinic/Center
  • Salt Lake City, UT
National Provider Identifier
1780041772
Registry record updated Sep 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
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 Directory

Locations

1516 S 1100 E
Lowr
Salt Lake City, UT 84105
Phone (801) 709-0748

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 79071956004 UT
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.