Organization Active NPI

LDS Family Services

  • Mental Health Counselor
  • American Fork, UT
National Provider Identifier
1790726156
Registry record updated Aug 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
100903 Issued in UT
Legal business name
LDS FAMILY SERVICES
Doing business as
LDS Family Services UT American Fork
Practice address
433 S 500 E
American Fork, UT 84003-2527
Phone
(801) 216-8000
Fax
(801) 216-8001
NPI assigned
Jun 9, 2006
Organization subpart
Yes
Parent organization
LDS FAMILY SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 20, 2008

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

Authorized official

Name
Mrs. Stephanie Miner, LCSW
Title
Agency Director
Phone
(801) 216-8000

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 100903 UT Primary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X 10903
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X 10903 UT

Addresses

Primary practice location

433 S 500 E
American Fork, UT 84003-2527

Mailing address

433 S 500 E
American Fork, UT 84003-2527
Phone (801) 216-8000

Other names 1

  • LDS Family Services UT American Fork Doing business as

National Provider Directory

National Provider Directory
Part of
Robert D Smith PHD

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219190400000",
    "number": "1790726156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 S 500 E",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840032527",
            "telephone_number": "801-216-8000",
            "fax_number": "801-216-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 S 500 E",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840032527",
            "telephone_number": "801-216-8000",
            "fax_number": "801-216-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LDS FAMILY SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LDS FAMILY SERVICES",
        "enumeration_date": "2006-06-09",
        "last_updated": "2008-08-20",
        "status": "A",
        "authorized_official_last_name": "MINER",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "AGENCY DIRECTOR",
        "authorized_official_telephone_number": "801-216-8000",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "100903",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": "10903",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "UT",
            "license": "10903",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LDS Family Services UT American Fork",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 20, 2008; 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.