Organization Active NPI

Bunnell & Vierig LLC

Doing business as Executive Clinical Consultants

  • Marriage & Family Therapist
  • Millcreek, UT
National Provider Identifier
1821633843
Registry record updated Nov 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
BUNNELL & VIERIG LLC
Doing business as
Executive Clinical Consultants
Practice address
4568 S Highland Dr Ste 380
Millcreek, UT 84117-4213
Phone
(385) 448-0835
NPI assigned
Nov 13, 2019
Last updated
Nov 13, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2019

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

Authorized official

Name
McKenzie Vierig, LMFTNPI 1356689566
Title
Clinical Therapist
Phone
(702) 561-1603

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)CodeLicenseStatePrimary
Social Worker 104100000X NU
Marriage & Family Therapist 106H00000X NU Primary

Addresses

Primary practice location

4568 S Highland Dr Ste 380
Millcreek, UT 84117-4213

Mailing address

1538 E Winward Dr
Holladay, UT 84117-7536
Phone (702) 561-1603

Other names 1

  • Executive Clinical Consultants Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1573603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573603200000",
    "number": "1821633843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1538 E WINWARD DR",
            "city": "HOLLADAY",
            "state": "UT",
            "postal_code": "841177536",
            "telephone_number": "702-561-1603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4568 S HIGHLAND DR STE 380",
            "city": "MILLCREEK",
            "state": "UT",
            "postal_code": "841174213",
            "telephone_number": "385-448-0835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUNNELL & VIERIG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-13",
        "last_updated": "2019-11-13",
        "status": "A",
        "authorized_official_last_name": "VIERIG",
        "authorized_official_first_name": "MCKENZIE",
        "authorized_official_title_or_position": "CLINICAL THERAPIST",
        "authorized_official_telephone_number": "702-561-1603",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Executive Clinical Consultants",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Millcreek, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2019; 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.