Active NPI
Mt Grove Counseling LLC
- Mental Health Counselor
- Pleasant Grove, UT
National Provider Identifier
1821554049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- MT GROVE COUNSELING LLC
- Practice address
- 66 E State Rd
Pleasant Grove, UT 84062-2637 - Phone
- (801) 404-0064
- NPI assigned
- Feb 12, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Katherine B Bruner, LCMHC
- Title
- Clinical Director
- Phone
- (801) 636-3036
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary | ||
| Psychologist | 103T00000X |
Addresses
Primary practice location
66 E State Rd
Pleasant Grove, UT 84062-2637
Mailing address
66 E State Rd
Pleasant Grove, UT 84062-2637
Phone (801) 404-0064
Other practice location 1
222 W 540 N
Orem, UT 84057-6631
Phone (801) 404-0064
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922523281 | Other | NPI |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Orem, UT
- NPI 1922523281
-
- Clinical Social Worker
- Lackland a F B, TX
- NPI 1467424127
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549929600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1651190400000",
"number": "1821554049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "66 E STATE RD",
"city": "PLEASANT GROVE",
"state": "UT",
"postal_code": "840622637",
"telephone_number": "801-404-0064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "66 E STATE RD",
"city": "PLEASANT GROVE",
"state": "UT",
"postal_code": "840622637",
"telephone_number": "801-404-0064"
}
],
"practiceLocations": [
{
"address_1": "222 W 540 N",
"address_purpose": "LOCATION",
"city": "Orem",
"state": "UT",
"postal_code": "840576631",
"country_code": "US",
"telephone_number": "801-404-0064",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MT GROVE COUNSELING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-02-12",
"last_updated": "2022-04-29",
"certification_date": "2022-04-29",
"status": "A",
"authorized_official_last_name": "BRUNER",
"authorized_official_first_name": "KATHERINE",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "CLINICAL DIRECTOR",
"authorized_official_telephone_number": "801-636-3036",
"authorized_official_credential": "LCMHC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1922523281",
"state": null
}
],
"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 29, 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.