Organization Active NPI

The Green House Center for Growth and Learning

  • Clinical Social Worker
  • Pleasant Grove, UT
National Provider Identifier
1821206541
Registry record updated Apr 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
348753-3501 Issued in UT
Legal business name
THE GREEN HOUSE CENTER FOR GROWTH AND LEARNING
Practice address
135 W Center St
Pleasant Grove, UT 84062-2207
Phone
(801) 785-1169
Fax
(801) 785-1154
NPI assigned
May 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2016

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

Authorized official

Name
Collette Dawsonloveless, LCSW
Title
Program Director
Phone
(801) 785-1169

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X 348753-3501 UT Primary

Addresses

Primary practice location

135 W Center St
Pleasant Grove, UT 84062-2207

Mailing address

135 W Center St
Pleasant Grove, UT 84062-2207
Phone (801) 785-1169

Other identifiers 1

IdentifierTypeStateIssuer
788007788047MedicaidUT

National Provider Directory

National Provider Directory

Locations

135 W Center St
Pleasant Grove, UT 84062
Phone (801) 785-1169

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460505600000",
    "number": "1821206541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 W CENTER ST",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840622207",
            "telephone_number": "801-785-1169",
            "fax_number": "801-785-1154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 W CENTER ST",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840622207",
            "telephone_number": "801-785-1169",
            "fax_number": "801-785-1154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GREEN HOUSE CENTER FOR GROWTH AND LEARNING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2016-04-13",
        "status": "A",
        "authorized_official_last_name": "DAWSONLOVELESS",
        "authorized_official_first_name": "COLLETTE",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "801-785-1169",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "348753-3501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "788007788047",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasant Grove, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2016; 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.