Organization Active NPI

Wasatch Community Counseling

  • Marriage & Family Therapist
  • Heber City, UT
National Provider Identifier
1861809709
Registry record updated Jul 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
75862893902 Issued in UT
Legal business name
WASATCH COMMUNITY COUNSELING
Practice address
150 N Main St Ste 206
Heber City, UT 84032-1671
Phone
(435) 709-8849
Fax
(435) 657-9983
NPI assigned
Jul 11, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2014

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

Authorized official

Name
Mrs. Alicia Power, LMFT
Title
Managing Member
Phone
(435) 709-8849

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X 75862893902 UT Primary

Addresses

Primary practice location

150 N Main St Ste 206
Heber City, UT 84032-1671

Mailing address

150 N Main St Ste 206
Heber City, UT 84032-1671
Phone (435) 709-8849

Other identifiers 1

IdentifierTypeStateIssuer
1164716122MedicaidUT

National Provider Directory

National Provider Directory

Locations

150 N Main St
Ste 206
Heber City, UT 84032
Phone (435) 709-8849

NPI Registry JSON

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

{
    "created_epoch": "1405036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405036800000",
    "number": "1861809709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 N MAIN ST STE 206",
            "city": "HEBER CITY",
            "state": "UT",
            "postal_code": "840321671",
            "telephone_number": "435-709-8849",
            "fax_number": "435-657-9983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 N MAIN ST STE 206",
            "city": "HEBER CITY",
            "state": "UT",
            "postal_code": "840321671",
            "telephone_number": "435-709-8849",
            "fax_number": "435-657-9983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASATCH COMMUNITY COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-11",
        "last_updated": "2014-07-11",
        "status": "A",
        "authorized_official_last_name": "POWER",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "435-709-8849",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "UT",
            "license": "75862893902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1164716122",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Heber City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2014; 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.