NPIMap

Organization Active NPI

Otr Therapeutic Services, PLLC

  • Mental Health Counselor
  • Salt Lake City, UT
National Provider Identifier
1902204209
Registry record updated Dec 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
287998-6004 Issued in UT
Legal business name
OTR THERAPEUTIC SERVICES, PLLC
Practice address
2480 S Main St
Suite 105
Salt Lake City, UT 84115-3058
Phone
(801) 641-5077
Fax
(801) 274-8102
NPI assigned
Dec 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2014

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

Authorized official

Name
Julie Kay Scheid, LCMHCNPI 1427493089
Title
Clinical Therapist
Phone
(801) 641-5077

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 287998-6004 UT Primary

Addresses

Primary practice location

2480 S Main St
Suite 105
Salt Lake City, UT 84115-3058

Mailing address

2722 S Camron Glen Dr
Magna, UT 84044-1570
Phone (801) 641-5077

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1418860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418860800000",
    "number": "1902204209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2722 S CAMRON GLEN DR",
            "city": "MAGNA",
            "state": "UT",
            "postal_code": "840441570",
            "telephone_number": "801-641-5077",
            "fax_number": "801-274-8102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2480 S MAIN ST",
            "address_2": "SUITE 105",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841153058",
            "telephone_number": "801-641-5077",
            "fax_number": "801-274-8102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTR THERAPEUTIC SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-18",
        "last_updated": "2014-12-18",
        "status": "A",
        "authorized_official_last_name": "SCHEID",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "CLINICAL THERAPIST",
        "authorized_official_telephone_number": "801-641-5077",
        "authorized_official_credential": "LCMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "287998-6004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

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