Active NPI
Skyler Holbrook
- Marriage & Family Therapist
- South Jordan, UT
National Provider Identifier
1831755586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Practice address
- 10808 S River Front Pkwy
South Jordan, UT 84095-5759 - Phone
- (385) 207-9100
- NPI assigned
- May 17, 2019
- Last updated
- Jan 25, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Primary |
Addresses
Primary practice location
10808 S River Front Pkwy
South Jordan, UT 84095-5759
Mailing address
825 W 2350 N
Lehi, UT 84043-2837
Phone (385) 207-9100
Other practice location 1
13552 S 110 W Ste 204
Draper, UT 84020-2403
Phone (801) 432-0883
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sage Family Counseling, PLLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Draper Integrated Counseling and Wellness
- Community/Behavioral Health Agency
- Draper, UT
- NPI 1992157622
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674604800000",
"number": "1831755586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "825 W 2350 N",
"city": "LEHI",
"state": "UT",
"postal_code": "840432837",
"telephone_number": "385-207-9100",
"fax_number": "801-851-7102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10808 S RIVER FRONT PKWY",
"city": "SOUTH JORDAN",
"state": "UT",
"postal_code": "840955759",
"telephone_number": "385-207-9100"
}
],
"practiceLocations": [
{
"address_1": "13552 S 110 W Ste 204",
"address_purpose": "LOCATION",
"city": "Draper",
"state": "UT",
"postal_code": "840202403",
"country_code": "US",
"telephone_number": "801-432-0883",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOLBROOK",
"first_name": "SKYLER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-05-17",
"last_updated": "2023-01-25",
"certification_date": "2023-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Jordan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.