NPIMap

Organization Active NPI

Lifestar

  • Professional Counselor
  • Murray, UT
National Provider Identifier
1902044472
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
LIFESTAR
Practice address
151 E 5600 S Ste 204
Murray, UT 84107-8146
Phone
(801) 262-2400
NPI assigned
Jan 21, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Todd Olson, CSAT, LCSW
Title
Partner
Phone
(801) 262-7409

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X UT Primary

Addresses

Primary practice location

151 E 5600 S Ste 204
Murray, UT 84107-8146

Mailing address

151 E 5600 S Ste 204
Murray, UT 84107-8146
Phone (801) 262-2400

National Provider Directory

National Provider Directory
Tax ID family
Lifestar2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1232496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1902044472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 E 5600 S STE 204",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841078146",
            "telephone_number": "801-262-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 E 5600 S STE 204",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841078146",
            "telephone_number": "801-262-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESTAR",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-21",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "801-262-7409",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CSAT, LCSW"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "UT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.