NPIMap

Organization Active NPI

Matt Larson Psychotherapy and Associates

  • Clinical Social Worker
  • Salt Lake City, UT
National Provider Identifier
1942746060
Registry record updated Jan 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9190801-3501 Issued in UT
Legal business name
MATT LARSON PSYCHOTHERAPY AND ASSOCIATES
Practice address
24 S 600 E Ste 6
Salt Lake City, UT 84102-4201
Phone
(801) 599-6396
NPI assigned
Jan 12, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2017

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

Authorized official

Name
Matt Larson
Title
LCSW/Owner
Phone
(801) 599-6396

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 9190801-3501 UT Primary

Addresses

Primary practice location

24 S 600 E Ste 6
Salt Lake City, UT 84102-4201

Mailing address

24 S 600 E Ste 6
Salt Lake City, UT 84102-4201

National Provider Directory

National Provider Directory
Tax ID family
Matt Larson Psychotherapy and Associates2 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.

Practitioners & affiliated clinicians

Practitioners 4

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": "1484179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484179200000",
    "number": "1942746060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 S 600 E STE 6",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841024201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 S 600 E STE 6",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841024201",
            "telephone_number": "801-599-6396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATT LARSON PSYCHOTHERAPY AND ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-12",
        "last_updated": "2017-01-12",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "LCSW/OWNER",
        "authorized_official_telephone_number": "801-599-6396"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "9190801-3501",
            "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 Jan 12, 2017; 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.