Mosaic House- Certs

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

0015901 Issued in UT

Legal business name

MOSAIC HOUSE- CERTS

Practice address

1488 E Vine St
Murray, UT 84121-1958

Phone

(801) 414-0596

Fax

(801) 268-9303

NPI assigned

Jan 26, 2016

Last updated

Jan 26, 2016By 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

Leah Jaramillo, LMFTNPI 1548589179

Title

Director

Phone

(801) 414-0596

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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.

• Leah E Jaramillo, CMFTI

  • Marriage & Family Therapist
  • SLC, UT
  • NPI 1548589179
  Authorized official Same address or phone

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

{
    "created_epoch": "1453766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453766400000",
    "number": "1942667597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1488 E VINE ST",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841211958",
            "telephone_number": "801-414-0596",
            "fax_number": "801-268-9303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1488 E VINE ST",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841211958",
            "telephone_number": "801-414-0596",
            "fax_number": "801-268-9303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSAIC HOUSE- CERTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-26",
        "last_updated": "2016-01-26",
        "status": "A",
        "authorized_official_last_name": "JARAMILLO",
        "authorized_official_first_name": "LEAH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "801-414-0596",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "UT",
            "license": "0015901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cari Yvonne Morphet, MS, LPC
• David S Morris, MD
• Natalie R Morris
• William James Morrison, M.D.
• Tanner Ross Mortenson, D.O.
• Margaret Moses, NP
• Diane M Moss, NP
• Laura Moss, NP-C
• Shannon Moss
• Travis Jay Moss, M.D.

• Mental Illness Community Based Residential Treatment Facility in Murray, UT
• Providers in Murray, UT by specialty
• Mental Illness Community Based Residential Treatment Facility in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.