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
- Last updated
- Oct 14, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Zachary Jenson
- Title
- Manager
- Phone
- (801) 556-1977
Specialties & licenses 7
| 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
Primary 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
9350 S 150 E
Ste 655
Sandy, UT 84070
Ownership & related parties
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 & 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": "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.