NPIMap

Organization Active NPI

Blue Theory Counseling LLC

  • Mental Health Counselor
  • South Jordan, UT
National Provider Identifier
1992403513
Registry record updated Mar 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
BLUE THEORY COUNSELING LLC
Practice address
10808 S River Front Pkwy Ste 308
South Jordan, UT 84095-5761
Phone
(801) 984-6728
Fax
(801) 984-4715
NPI assigned
Feb 22, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2023

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

Authorized official

Name
Jacob AndreasonNPI 1992011860
Title
Provider
Phone
(801) 984-6728

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

10808 S River Front Pkwy Ste 308
South Jordan, UT 84095-5761

Mailing address

10808 S River Front Pkwy Ste 308
South Jordan, UT 84095-5761
Phone (801) 984-6728

National Provider Directory

National Provider Directory

Locations

10808 S River Front Pkwy
Ste 308
South Jordan, UT 84095
Phone (801) 984-6726

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1677024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678406400000",
    "number": "1992403513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10808 S RIVER FRONT PKWY STE 308",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840955761",
            "telephone_number": "801-984-6728",
            "fax_number": "801-984-4715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10808 S RIVER FRONT PKWY STE 308",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840955761",
            "telephone_number": "801-984-6728",
            "fax_number": "801-984-4715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE THEORY COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-22",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A",
        "authorized_official_last_name": "ANDREASON",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "801-984-6728"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Jordan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2023; 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.