Wiconi Counseling Center

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

WICONI COUNSELING CENTER

Practice address

1133 N Main St Ste 128
Layton, UT 84041-4830

Phone

(801) 541-7049

NPI assigned

Jun 5, 2019

Organization subpart

No

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

Authorized official

Name

Kimberly Mack

Title

Owner

Phone

(801) 503-8093

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Marisa McPeck-Stringham, SSW

  • Social Worker
  • Layton, UT
  • NPI 1760099733

  Clinical

  NPD (past)

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

{
    "created_epoch": "1559692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576627200000",
    "number": "1861050783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 N MAIN ST STE 128",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840414830",
            "telephone_number": "801-541-7049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 N MAIN ST STE 128",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840414830",
            "telephone_number": "801-541-7049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WICONI COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-05",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A",
        "authorized_official_last_name": "MACK",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-503-8093"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 1 NPI",
            "identifier": "1598208928",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessie Anna Jean Whitnack-Davidson
• Anna Lee Whitsel
• Karlianne Whittington
• Vincent Wiberg
• Michelle M Wickersham, CMHC
• Julie A. Wiese, M.D.
• Amy K Wight, RD, CD
• Bryan Kent Wilcox, M.D.
• Cathy Lynn Wilcox, SSW
• Angela Wilde

• Clinical Social Worker in Layton, UT
• Providers in Layton, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.