Organization Active NPI

Affirmative Life Skills

  • Clinical Social Worker
  • St George, UT
National Provider Identifier
1821762923
Registry record updated Sep 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
AFFIRMATIVE LIFE SKILLS
Practice address
135 N 900 E Ste 3
Saint George, UT 84770-3265
Phone
(435) 261-8160
NPI assigned
Aug 3, 2021
Last updated
Sep 23, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2021

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

Authorized official

Name
Val Henrie Johnson, LCSWNPI 1548649395
Title
Owner
Phone
(435) 261-8160

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

135 N 900 E Ste 3
Saint George, UT 84770-3265

Mailing address

1130 W Goldenrod Cir
Saint George, UT 84790-7512
Phone (435) 261-8160

Other names 1

  • VAL HENRIE JOHNSON Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211005003110 UT Part B Supplier - Clinic/Group Practice 7719385715 Receives reassigned benefits from 1 practitioner
Practice locations: St George, UT

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": "1627948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632355200000",
    "number": "1821762923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 W GOLDENROD CIR",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847907512",
            "telephone_number": "435-261-8160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 N 900 E STE 3",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847703265",
            "telephone_number": "435-261-8160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFIRMATIVE LIFE SKILLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-03",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "VAL",
        "authorized_official_middle_name": "HENRIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-261-8160",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VAL HENRIE JOHNSON",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in St George, UT

Sources for this page

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