Organization Active NPI

Embrace Counseling

  • Community/Behavioral Health Agency
  • West Jordan, UT
National Provider Identifier
1821761867
Registry record updated Jul 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
EMBRACE COUNSELING
Practice address
7478 S Campus View Dr Ste 100
West Jordan, UT 84084-1968
Phone
(801) 441-2239
NPI assigned
Jul 27, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2021

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

Authorized official

Name
Charrisse HancockNPI 1952790230
Title
Owner
Phone
(801) 441-2239

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

7478 S Campus View Dr Ste 100
West Jordan, UT 84084-1968

Mailing address

7478 S Campus View Dr Ste 100
West Jordan, UT 84084-1968

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230616001309 UT Part B Supplier - Clinic/Group Practice 3577921998 Receives reassigned benefits from 2 practitioners
Practice locations: West Jordan, UT; Riverdale, UT

National Provider Directory

National Provider Directory

Locations

5139 S 1500 W
Riverdale, UT 84405
Phone (801) 651-1418

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1627344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627344000000",
    "number": "1821761867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7478 S CAMPUS VIEW DR STE 100",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840841968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7478 S CAMPUS VIEW DR STE 100",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840841968",
            "telephone_number": "801-441-2239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBRACE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-27",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A",
        "authorized_official_last_name": "HANCOCK",
        "authorized_official_first_name": "CHARRISSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-441-2239"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Jordan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.