Organization Active NPI

Youth Empowerment Project LLC

  • Marriage & Family Therapist
  • Salt Lake City, UT
National Provider Identifier
1780904482
Registry record updated Jun 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
YOUTH EMPOWERMENT PROJECT LLC
Practice address
1383 S 900 W
Salt Lake City, UT 84104-1603
Phone
(801) 604-1134
Fax
(801) 649-0964
NPI assigned
Jun 3, 2010
Last updated
Jun 3, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2010

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

Authorized official

Name
Lilly J. Landikusic, LMFTNPI 1902084411
Title
Owner
Phone
(801) 604-1134

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

1383 S 900 W
Salt Lake City, UT 84104-1603

Mailing address

PO Box 12871
Ogden, UT 84412-2871

National Provider Directory

National Provider Directory

Locations

1383 S 900 W
Salt Lake City, UT 84104
Phone (801) 604-1134

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1275523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275523200000",
    "number": "1780904482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12871",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844122871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1383 S 900 W",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841041603",
            "telephone_number": "801-604-1134",
            "fax_number": "801-649-0964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH EMPOWERMENT PROJECT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-03",
        "last_updated": "2010-06-03",
        "status": "A",
        "authorized_official_last_name": "LANDIKUSIC",
        "authorized_official_first_name": "LILLY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-604-1134",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "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 Jun 3, 2010; 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.