Little Black Cat Counseling and Healing

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

LITTLE BLACK CAT COUNSELING AND HEALING

Practice address

715 E 3900 S Ste 103
Salt Lake City, UT 84107-2570

Phone

(385) 377-5995

NPI assigned

Sep 14, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Nicole Irene Medina, PSYDNPI 1235488008

Title

Owner

Phone

(385) 377-5995

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Nicole I Medina, PSYD

  • Clinical Psychologist
  • Murray, UT
  • NPI 1235488008
  NPD Authorized official

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

{
    "created_epoch": "1663113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663113600000",
    "number": "1801518063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 E 3900 S STE 103",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841072570",
            "telephone_number": "385-377-5995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 E 3900 S STE 103",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841072570",
            "telephone_number": "385-377-5995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE BLACK CAT COUNSELING AND HEALING",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-14",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A",
        "authorized_official_last_name": "MEDINA",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "IRENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "385-377-5995",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Michelle Leann Litchman, APRN
• Gabriella Litevsky, DPT
• Mallory Alexandria Litster
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• Anna Little, DPT
• Dennis Little, PATHOLOGY PA
• Jessica Little, LCSW
• Joshua Sterling Little

• Psychologist in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Psychologist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.