Madre Tierra Counseling & Consulting LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MADRE TIERRA COUNSELING & CONSULTING LLC

Practice address

3763 S Secord St
Salt Lake City, UT 84115-4771

Phone

(801) 865-4076

NPI assigned

Sep 5, 2019

Organization subpart

No

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

Authorized official

Name

Yvette Sonia Gonzalez, LCSW

Title

Owner

Phone

(801) 865-4076

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yvette Sonia Romero Coronado, LCSW

  • Clinical Social Worker
  • South Salt Lake, UT
  • NPI 1508395104
  NPD

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

{
    "created_epoch": "1567641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567641600000",
    "number": "1942859707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2331 W JOSIE LN",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841295351",
            "telephone_number": "801-865-4076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3763 S SECORD ST",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841154771",
            "telephone_number": "801-865-4076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADRE TIERRA COUNSELING & CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-05",
        "last_updated": "2019-09-05",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "YVETTE",
        "authorized_official_middle_name": "SONIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-865-4076",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Michelle Madigan
• David D Madill
• Erick Madis, MD
• Madison a. Day, DDS, PC
• Russell Chandler Madray
• Travis Joshua Madrid
• Shirley Madrigal, CPSS, FRF
• Jeremy David Madron
• Madsen Wellness
• Annette Madsen

• Community/Behavioral Health Agency in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Community/Behavioral Health Agency in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2019; 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.