Healthcare Provider Details

I. General information

NPI: 1750298394
Provider Name (Legal Business Name): ASCENTIAL THERAPY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7533 S CENTER VIEW CT # 6311
WEST JORDAN UT
84084-5526
US

IV. Provider business mailing address

7533 S CENTER VIEW CT # 6311
WEST JORDAN UT
84084-5526
US

V. Phone/Fax

Practice location:
  • Phone: 801-877-0079
  • Fax:
Mailing address:
  • Phone: 801-877-0079
  • Fax: 877-940-4065

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: JOSEPHEVE MARTINDALE
Title or Position: OWNER
Credential: CMHC, BCBA
Phone: 801-877-0079