Organization Active NPI

Herndon Psychotherapy and Evaluation PLLC

  • Clinical Psychologist
  • West Jordan, UT
National Provider Identifier
1881042612
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
7954817-2501 Issued in UT
Legal business name
HERNDON PSYCHOTHERAPY AND EVALUATION PLLC
Practice address
1174 W Le Rosier CT
West Jordan, UT 84088-9076
Phone
(801) 657-3330
NPI assigned
Jun 2, 2016
Last updated
Jun 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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

Authorized official

Name
Natalie Cox HerndonNPI 1356537542
Title
Owner
Phone
(601) 757-3382

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 Psychologist 103TC0700X 7954817-2501 UT Primary

Addresses

Primary practice location

1174 W Le Rosier CT
West Jordan, UT 84088-9076

Mailing address

1174 W Le Rosier CT
West Jordan, UT 84088-9076
Phone (801) 657-3330

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160802002696 UT Part B Supplier - Clinic/Group Practice 5698069441 Receives reassigned benefits from 1 practitioner
Practice locations: West Jordan, UT

National Provider Directory

National Provider Directory

Locations

265 E 100 S
Ste 275
Salt Lake City, UT 84111
Phone (801) 484-6149

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": "1464825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750118400000",
    "number": "1881042612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1174 W LE ROSIER CT",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840889076",
            "telephone_number": "801-657-3330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1174 W LE ROSIER CT",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840889076",
            "telephone_number": "801-657-3330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERNDON PSYCHOTHERAPY AND EVALUATION PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-02",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A",
        "authorized_official_last_name": "HERNDON",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_middle_name": "COX",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-757-3382"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "UT",
            "license": "7954817-2501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Jordan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; 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.