NPIMap

Organization Active NPI

Arbor Counseling Utah LLC

Doing business as Arbor Counseling

  • Clinical Social Worker
  • Taylorsville, UT
National Provider Identifier
1902274731
Registry record updated Jul 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ARBOR COUNSELING UTAH LLC
Doing business as
Arbor Counseling
Practice address
5667 S Redwood Rd Unit 6
Taylorsville, UT 84123-5433
Phone
(385) 425-3196
NPI assigned
Sep 10, 2015
Last updated
Jul 2, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2020

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

Authorized official

Name
Mrs. Maria C. Richmond, LCSWNPI 1104157262
Title
Owner
Phone
(801) 864-2480

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 Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

5667 S Redwood Rd Unit 6
Taylorsville, UT 84123-5433

Mailing address

5667 S Redwood Rd # 6
Taylorsville, UT 84123-5433
Phone (801) 864-2480

Other names 1

  • Arbor Counseling Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200814001009 UT Part B Supplier - Clinic/Group Practice 0244656767 Receives reassigned benefits from 1 practitioner
Practice locations: Taylorsville, UT

National Provider Directory

National Provider Directory

Locations

5667 S Redwood Rd
#6
Taylorsville, UT 84123
Phone (385) 425-3196

5667 S Redwood Rd
Ste 6
Taylorsville, UT 84123
Phone (385) 425-3196

5689 S Redwood Rd
Unit 28
Taylorsville, UT 84123
Phone (801) 266-4643

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1441843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593648000000",
    "number": "1902274731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5667 S REDWOOD RD # 6",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841235433",
            "telephone_number": "801-864-2480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5667 S REDWOOD RD UNIT 6",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841235433",
            "telephone_number": "385-425-3196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARBOR COUNSELING UTAH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-10",
        "last_updated": "2020-07-02",
        "certification_date": "2020-07-02",
        "status": "A",
        "authorized_official_last_name": "RICHMOND",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-864-2480",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arbor Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Taylorsville, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2020; 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.