Active NPI
Herndon Psychotherapy and Evaluation PLLC
- Clinical Psychologist
- West Jordan, UT
National Provider Identifier
1881042612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 7954817-2501
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Natalie Cox Herndon
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Clinical Psychologist
- West Jordan, UT
- NPI 1356537542
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.