NPIMap

Organization Active NPI

Military and Veteran Counseling Center, LLC

  • Clinical Social Worker
  • Murray, UT
National Provider Identifier
1922404854
Registry record updated Jan 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6179827-3501 Issued in UT
Legal business name
MILITARY AND VETERAN COUNSELING CENTER, LLC
Doing business as
Freedom Therapy
Practice address
4516 S 700 E Ste 360
Murray, UT 84107-8317
Phone
(385) 231-8387
Fax
(385) 240-3843
NPI assigned
Nov 4, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2020

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

Authorized official

Name
Melanie Squire, LCSW
Title
Director/Therapist
Phone
(385) 231-8387

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 61798273502 UT
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 6179827-3501 UT Primary

Addresses

Primary practice location

4516 S 700 E Ste 360
Murray, UT 84107-8317

Mailing address

4516 S 700 E Ste 360
Murray, UT 84107-8317
Phone (385) 231-8387

Other names 2

  • Freedom Therapy Doing business as
  • Freedom Counseling, LLC Other name

National Provider Directory

National Provider Directory

Locations

872 Heritage Park Blvd
Ste 200
Layton, UT 84041
Phone (385) 231-8387

360 S Fort Ln
Bldg C
Layton, UT 84041
Phone (385) 231-8387

140 W 2100 S
Ste 244
South Salt Lake, UT 84115
Phone (385) 231-8387

Practitioners & affiliated clinicians

Practitioners 3

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": "1415059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578009600000",
    "number": "1922404854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4516 S 700 E STE 360",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841078317",
            "telephone_number": "385-231-8387",
            "fax_number": "385-240-3843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4516 S 700 E STE 360",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841078317",
            "telephone_number": "385-231-8387",
            "fax_number": "385-240-3843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILITARY AND VETERAN COUNSELING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-04",
        "last_updated": "2020-01-03",
        "certification_date": "2020-01-03",
        "status": "A",
        "authorized_official_last_name": "SQUIRE",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_title_or_position": "DIRECTOR/THERAPIST",
        "authorized_official_telephone_number": "385-231-8387",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "61798273502",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "6179827-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Freedom Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Freedom Counseling, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jan 3, 2020; 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.