Organization Active NPI

Susan Middleton PHD LCSW Consulting

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lehi, UT
National Provider Identifier
1841762994
Registry record updated Dec 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
SUSAN MIDDLETON PHD LCSW CONSULTING
Practice address
1059 N 700 E
Lehi, UT 84043-1327
Phone
(801) 473-4989
NPI assigned
Dec 28, 2018
Last updated
Dec 28, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2018

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

Authorized official

Name
Dr. Susan G Middleton, PHD, LCSW
Title
Psychotherapist
Phone
(801) 473-4989

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

1059 N 700 E
Lehi, UT 84043-1327

Mailing address

1059 N 700 E
Lehi, UT 84043-1327
Phone (801) 473-4989

Other identifiers 2

IdentifierTypeStateIssuer
11008402-0162OtherUTCERTIFICATE OF REGISTRATION LLC - PROFESSIONAL
139789-3501OtherUTLICENSED CLINICAL SOCIAL WORKER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1545955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545955200000",
    "number": "1841762994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1059 N 700 E",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840431327",
            "telephone_number": "801-473-4989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1059 N 700 E",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840431327",
            "telephone_number": "801-473-4989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN MIDDLETON PHD LCSW CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-28",
        "last_updated": "2018-12-28",
        "status": "A",
        "authorized_official_last_name": "MIDDLETON",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "801-473-4989",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFICATE OF REGISTRATION LLC - PROFESSIONAL",
            "identifier": "11008402-0162",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED CLINICAL SOCIAL WORKER",
            "identifier": "139789-3501",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehi, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2018; 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.