Pivotal Trauma Counseling LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

PIVOTAL TRAUMA COUNSELING LLC

Practice address

489 W South Jordan Pkwy Ste 200
South Jordan, UT 84095-3980

Phone

(801) 406-1145

NPI assigned

Jan 31, 2022

Organization subpart

No

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

Authorized official

Name

Korilynn C Bartley, CMHC, NCCNPI 1881168185

Title

President

Phone

(801) 406-1145

Specialties & licenses 1

Addresses

Other names 1

• Pivotal Trauma Counseling Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Korilynn Cheatham Bartley

  • Mental Health Counselor
  • Salt Lake City, UT
  • NPI 1881168185
  NPD Authorized official

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

{
    "created_epoch": "1643587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643587200000",
    "number": "1790438745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10982 S MAPLE FOREST WAY",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840954120",
            "telephone_number": "801-406-1145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "489 W SOUTH JORDAN PKWY STE 200",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840953980",
            "telephone_number": "801-406-1145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIVOTAL TRAUMA COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-31",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A",
        "authorized_official_last_name": "BARTLEY",
        "authorized_official_first_name": "KORILYNN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-406-1145",
        "authorized_official_credential": "CMHC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pivotal Trauma Counseling",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Mental Health Counselor in South Jordan, UT
• Providers in South Jordan, UT by specialty
• Mental Health Counselor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.