Randy Ray Enterprises LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

59432763902 Issued in UT

Legal business name

RANDY RAY ENTERPRISES LLC

Doing business as

Intentional Family Institute

Practice address

3900 South Avenue, 220 East Avenue
Suite 7
Salt Lake City, UT 84107

Phone

(801) 738-4369

NPI assigned

Nov 13, 2009

Last updated

Nov 13, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Susan L. Johnson, LMFTNPI 1134423544

Title

Partner/Program Director

Phone

(801) 738-4369

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Intentional Family Institute Doing business as

Tax ID family

Intentional Family Institute2 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.

• Intentional Family Institute

  • Marriage & Family Therapist
  • Salt Lake City, UT
  • NPI 1750524872
  NPD tax ID

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.

• Susan L. Johnson, L.M.F.T.

  • Marriage & Family Therapist
  • Salt Lake City, UT
  • NPI 1134423544
  NPD (past) Authorized official

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

{
    "created_epoch": "1258070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258070400000",
    "number": "1912234865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2936 LAKE MARY DR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841215331",
            "telephone_number": "801-860-9627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 SOUTH AVENUE, 220 EAST AVENUE",
            "address_2": "SUITE 7",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84107",
            "telephone_number": "801-738-4369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDY RAY ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-13",
        "last_updated": "2009-11-13",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PARTNER/PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "801-738-4369",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "UT",
            "license": "59432763902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11798095",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Intentional Family Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kimberly Randolph
• Loren J Randolph, MS
• Aileen Rands, PHD
• Jackson Rands
• Randy N Downing DDS PC
• Randy Sean Barnhisel DDS, PLLC (Salt Lake Smile Design)
• Ajinkya Rane, MD
• Robert Legrand Rane
• Jessica Jo Ranger
• Ravi Ranjan, MD

• Marriage & Family Therapist in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Marriage & Family Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2009; 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.