Organization Active NPI

Healing Paths, Inc.

  • Clinical Social Worker
  • Bountiful, UT
National Provider Identifier
1992124473
Registry record updated Apr 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3158913501 Issued in UT
Legal business name
HEALING PATHS, INC.
Practice address
1325 N Main St
Suite 3
Bountiful, UT 84010-6089
Phone
(801) 628-6344
Fax
(801) 606-2703
NPI assigned
Apr 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2014

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

Authorized official

Name
Ms. Jaqueline Pack, LCSW
Title
Owner
Phone
(801) 628-6344

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 3158913501 UT Primary

Addresses

Primary practice location

1325 N Main St
Suite 3
Bountiful, UT 84010-6089

Mailing address

1325 N Main St
Suite 3
Bountiful, UT 84010-6089
Phone (801) 628-6344

National Provider Directory

National Provider Directory

Locations

1325 N Main St
Ste 3
Bountiful, UT 84010
Phone (801) 397-2100

NPI Registry JSON

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

{
    "created_epoch": "1397088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397088000000",
    "number": "1992124473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 N MAIN ST",
            "address_2": "SUITE 3",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840106089",
            "telephone_number": "801-628-6344",
            "fax_number": "801-606-2703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 N MAIN ST",
            "address_2": "SUITE 3",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840106089",
            "telephone_number": "801-628-6344",
            "fax_number": "801-606-2703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING PATHS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-10",
        "last_updated": "2014-04-10",
        "status": "A",
        "authorized_official_last_name": "PACK",
        "authorized_official_first_name": "JAQUELINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-628-6344",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "3158913501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bountiful, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2014; 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.