NPIMap

Organization Active NPI

Spring Creek Wellness, LLC

  • Mental Health Counselor
  • Washington, UT
National Provider Identifier
1952814931
Registry record updated Dec 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6822650-6004 Issued in UT
Legal business name
SPRING CREEK WELLNESS, LLC
Practice address
1990 N Park Grove Dr
Washington, UT 84780-3011
Phone
(801) 499-7869
Fax
(801) 513-2065
NPI assigned
Nov 13, 2017
Last updated
Dec 17, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2021

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

Authorized official

Name
Desiree L Porter, CMHCNPI 1447568449
Title
Owner
Phone
(801) 499-7869

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6822650-6004 UT Primary

Addresses

Primary practice location

1990 N Park Grove Dr
Washington, UT 84780-3011

Mailing address

1990 N Park Grove Dr
Washington, UT 84780-3011
Phone (801) 499-7869

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1510531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639699200000",
    "number": "1952814931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1990 N PARK GROVE DR",
            "city": "WASHINGTON",
            "state": "UT",
            "postal_code": "847803011",
            "telephone_number": "801-499-7869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1990 N PARK GROVE DR",
            "city": "WASHINGTON",
            "state": "UT",
            "postal_code": "847803011",
            "telephone_number": "801-499-7869",
            "fax_number": "801-513-2065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING CREEK WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-13",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "DESIREE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-499-7869",
        "authorized_official_credential": "CMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "6822650-6004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2021; 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.