NPIMap

Organization Active NPI

Changes Individual & Relational Therapy

  • Mental Health Counselor
  • Layton, UT
National Provider Identifier
1972752681
Registry record updated Sep 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3176863978 Issued in UT
Legal business name
CHANGES INDIVIDUAL & RELATIONAL THERAPY
Practice address
836 S Main St Ste 210
Layton, UT 84041-7118
Phone
(801) 543-2120
NPI assigned
Sep 17, 2008
Last updated
Sep 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2008

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

Authorized official

Name
Emil Harker
Title
Owner
Phone
(801) 543-2120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 3176863978 UT Primary

Addresses

Primary practice location

836 S Main St Ste 210
Layton, UT 84041-7118

Mailing address

836 S Main St Ste 210
Layton, UT 84041-7118
Phone (801) 543-2120

National Provider Directory

National Provider Directory

Locations

836 S Main St
Ste 210
Layton, UT 84041
Phone (801) 543-2120

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": "1221609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221609600000",
    "number": "1972752681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "836 S MAIN ST STE 210",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840417118",
            "telephone_number": "801-543-2120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "836 S MAIN ST STE 210",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840417118",
            "telephone_number": "801-543-2120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGES INDIVIDUAL & RELATIONAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-17",
        "last_updated": "2008-09-17",
        "status": "A",
        "authorized_official_last_name": "HARKER",
        "authorized_official_first_name": "EMIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-543-2120"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "3176863978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Layton, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2008; 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.