Legacy Counseling Center

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

53747966004 Issued in UT

Legal business name

LEGACY COUNSELING CENTER

Practice address

318 Ridge Dr
Alpine, UT 84004-2602

Phone

(801) 822-4892

NPI assigned

Feb 15, 2011

Last updated

Feb 15, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. John Gawrys Jr., LPC

Title

Administrator

Phone

(801) 822-4892

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ann Hacking Poff, LCSW

  • Clinical Social Worker
  • Alpine, UT
  • NPI 1477755148
  NPD (past)

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

{
    "created_epoch": "1297728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297728000000",
    "number": "1821395633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 RIDGE DR",
            "city": "ALPINE",
            "state": "UT",
            "postal_code": "840042602",
            "telephone_number": "801-822-4892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 RIDGE DR",
            "city": "ALPINE",
            "state": "UT",
            "postal_code": "840042602",
            "telephone_number": "801-822-4892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-15",
        "last_updated": "2011-02-15",
        "status": "A",
        "authorized_official_last_name": "GAWRYS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "801-822-4892",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "53747966004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Spens Lanham, FNP
• Garon E Larsen, DMD
• Daniel Lawler, DC
• Krista Lebaron
• Nelson Lee, CMHC
• Heather Leishman, PA-C
• Lone Peak Public Safety District (Lone Peak Ambulance)
• Amanda Joy Loveland, NLP
• Elizabeth Brown Macdonald, ACMHC
• Brent D. Mains

• Mental Health Counselor in Alpine, UT
• Providers in Alpine, 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 Feb 15, 2011; 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.