Full Circle Counseling PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

FULL CIRCLE COUNSELING PLLC

Practice address

4640 S 3500 W Ste 4
West Haven, UT 84401-6522

Phone

(801) 603-4792

NPI assigned

Jan 15, 2021

Last updated

Jan 15, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Susan HodgesNPI 1104333673

Title

Owner

Phone

(801) 603-4792

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Locations

Practitioners 2

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.

• Susan Dee Hodges

  • Clinical Social Worker
  • West Haven, UT
  • NPI 1104333673
  Medicare reassignment NPD Authorized official
• Wendi Lyn Hayden

  • Clinical Social Worker
  • West Haven, UT
  • NPI 1124364013
  NPD

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

{
    "created_epoch": "1610668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610668800000",
    "number": "1972192631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4640 S 3500 W STE 4",
            "city": "WEST HAVEN",
            "state": "UT",
            "postal_code": "844016522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4640 S 3500 W STE 4",
            "city": "WEST HAVEN",
            "state": "UT",
            "postal_code": "844016522",
            "telephone_number": "801-603-4792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL CIRCLE COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-15",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A",
        "authorized_official_last_name": "HODGES",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-603-4792"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Embury, DPT
• Jennifer Diane Fanelli, RN
• Dawn M Fielding, CRT
• Amy Jo Fowers, FNP
• Karensa Fox
• Futures Through Choices, Inc.
• Gahc4 West Haven Ut TRS Sub, LLC (Lotus Park Assisted Living)
• Gahc4 West Haven Ut TRS Sub, LLC (Lotus Park Care Centers)
• Bethany Garner
• Adam Comish Gilbert, PT, DPT

• Community/Behavioral Health Agency in West Haven, UT
• Providers in West Haven, 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 Jan 15, 2021; 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.

Verify at the official NPI Registry.