Active NPI
Aspire365
- Addiction Medicine (Preventive Medicine) Physician
- Sandy, UT
National Provider Identifier
1972133783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Preventive Medicine) Physician
- Legal business name
- ASPIRE365
- Practice address
- 9350 S 150 E Ste 655
Sandy, UT 84070-2702 - Phone
- (385) 352-9696
- Fax
- (385) 399-9070
- NPI assigned
- Jan 21, 2020
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Mr. Zachary Jenson
- Title
- Manager
- Phone
- (801) 556-1977
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Addiction Medicine (Preventive Medicine) Physician
- Sandy, UT
- NPI 1477204493
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220915003836 | UT | Part B Supplier - Clinic/Group Practice | 3173908860 |
Receives reassigned benefits from 1 practitioner Practice locations: Sandy, UT |
National Provider Directory
National Provider DirectoryLocations
765 E 9000 S
Ste A2B
Sandy, UT 84094
Phone (801) 556-1977
9350 S 150 E
Ste 655
Sandy, UT 84070
Specialties & licenses 7
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | |||
| Addiction (Substance Use Disorder) Registered Nurse | 163WA0400X | |||
| Addiction Medicine (Preventive Medicine) Physician | 2083A0300X | Primary | ||
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X | |||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X |
Addresses
NPPES NPI RegistryPrimary practice location
9350 S 150 E Ste 655
Sandy, UT 84070-2702
Mailing address
765 E 9000 S Ste A2B
Sandy, UT 84094-3082
Phone (385) 352-9696
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 14, 2024.
{
"created_epoch": "1579564800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1728864000000",
"number": "1972133783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "765 E 9000 S STE A2B",
"city": "SANDY",
"state": "UT",
"postal_code": "840943082",
"telephone_number": "385-352-9696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9350 S 150 E STE 655",
"city": "SANDY",
"state": "UT",
"postal_code": "840702702",
"telephone_number": "385-352-9696",
"fax_number": "385-399-9070"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASPIRE365",
"organizational_subpart": "NO",
"enumeration_date": "2020-01-21",
"last_updated": "2024-10-14",
"certification_date": "2024-10-14",
"status": "A",
"authorized_official_last_name": "JENSON",
"authorized_official_first_name": "ZACHARY",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "801-556-1977",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "163WA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "2083A0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Preventive Medicine, Addiction Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "2084A0401X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Addiction Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sandy, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.