Simple Modern Therapy, PLLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

67841063902 Issued in UT

Legal business name

SIMPLE MODERN THERAPY, PLLC

Practice address

1104 E Ashton Ave
212
Salt Lake City, UT 84106-4504

Phone

(435) 730-2973

NPI assigned

Jan 23, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Heather Holmgren, LMFT

Title

Owner

Phone

(435) 730-2973

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1390435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390435200000",
    "number": "1821411133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 E 600 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841022908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 E ASHTON AVE",
            "address_2": "212",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841064504",
            "telephone_number": "435-730-2973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLE MODERN THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-23",
        "last_updated": "2014-01-23",
        "status": "A",
        "authorized_official_last_name": "HOLMGREN",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-730-2973",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "UT",
            "license": "67841063902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew David Simons, LMT
• Michael Simons, PA-C
• Cyrus Simper, CCMA
• Steven Charles Simper, MD
• Simpl Care Services LLC
• Simplified Administrative Solutions LLC
• Adriana Marsela Simpson
• Anna Simpson
• Craig Bradley Simpson, CERTIFIED SOCIAL WOR
• David E Simpson, L.C.S.W

• Marriage & Family Therapist in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Marriage & Family Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2014; 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.