Organization Active NPI

Successful Therapy

  • Clinical Social Worker
  • Lindon, UT
National Provider Identifier
1962888610
Registry record updated Aug 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8650132-3501 Issued in UT
Legal business name
SUCCESSFUL THERAPY
Practice address
275 W 200 N Ste 203
Lindon, UT 84042-5019
Phone
(801) 787-7735
NPI assigned
Aug 5, 2015
Last updated
Aug 5, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2015

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

Authorized official

Name
George Ballew, LCSW
Title
Therapist
Phone
(801) 787-7735

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 8650132-3501 UT Primary

Addresses

Primary practice location

275 W 200 N Ste 203
Lindon, UT 84042-5019

Mailing address

275 W 200 N Ste 203
Lindon, UT 84042-5019
Phone (801) 787-7735

National Provider Directory

National Provider Directory
Tax ID family
Successful Therapy2 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.

NPI Registry JSON

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

{
    "created_epoch": "1438732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438732800000",
    "number": "1962888610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 W 200 N STE 203",
            "city": "LINDON",
            "state": "UT",
            "postal_code": "840425019",
            "telephone_number": "801-787-7735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 W 200 N STE 203",
            "city": "LINDON",
            "state": "UT",
            "postal_code": "840425019",
            "telephone_number": "801-787-7735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUCCESSFUL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-05",
        "last_updated": "2015-08-05",
        "status": "A",
        "authorized_official_last_name": "BALLEW",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "801-787-7735",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "8650132-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lindon, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2015; 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.