Organization Active NPI

Life Mosaics Family Counseling

  • Mental Health Counselor
  • American Fork, UT
National Provider Identifier
1780917732
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
LIFE MOSAICS FAMILY COUNSELING
Practice address
218 N Center St
American Fork, UT 84003-1630
Phone
(801) 770-3030
Fax
(801) 770-2839
NPI assigned
Sep 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Brady Mathews
Title
Owner
Phone
(801) 770-3030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X UT Primary

Addresses

Primary practice location

218 N Center St
American Fork, UT 84003-1630

Mailing address

218 N Center St
American Fork, UT 84003-1630
Phone (801) 770-3030

National Provider Directory

National Provider Directory

Locations

218 N Center St
American Fork, UT 84003
Phone (801) 492-4800

NPI Registry JSON

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

{
    "created_epoch": "1252454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1780917732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 N CENTER ST",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840031630",
            "telephone_number": "801-770-3030",
            "fax_number": "801-770-2839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 N CENTER ST",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840031630",
            "telephone_number": "801-770-3030",
            "fax_number": "801-770-2839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE MOSAICS FAMILY COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-09",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MATHEWS",
        "authorized_official_first_name": "BRADY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-770-3030"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in American Fork, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.