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1518115328 NPI number — AIMEE LYNN MORTENSEN CCMHC, CST, NCC

NPI Number: 1518115328
Health Care Provider/Practitioner: AIMEE LYNN MORTENSEN CCMHC, CST, NCC

Information about “1518115328” NPI (AIMEE LYNN MORTENSEN CCMHC, CST, NCC) exists in 1518115328 in HTML format HTML  |  1518115328 in plain Text format TXT  |  1518115328 in PDF (Portable Document Format) PDF  |  1518115328 in an XML format XML  formats.

NPI Number : 1518115328 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1518115328",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MORTENSEN",
    "FirstName": "AIMEE",
    "MiddleName": "LYNN",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "CCMHC, CST, NCC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "FRANCOM",
    "OtherFirstName": "AIMEE",
    "OtherMiddleName": "LYNN",
    "OtherNamePrefix": "MRS.",
    "OtherNameSuffix": null,
    "OtherCredential": "CCMHC, NCC",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "3098 W EXECUTIVE PKWY STE 280",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LEHI",
    "MailingAddressStateName": "UT",
    "MailingAddressPostalCode": "84048-4949",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "801-404-3069",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3098 W EXECUTIVE PKWY STE 280",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LEHI",
    "PracticeLocationAddressStateName": "UT",
    "PracticeLocationAddressPostalCode": "84048-4949",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "801-404-3069",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/04/2008",
    "LastUpdateDate": "01/23/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "101YP2500X",
          "TaxonomyName": "Professional Counselor",
          "LicenseNumber": "54053956009",
          "LicenseNumberStateCode": "UT",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YM0800X",
          "TaxonomyName": "Mental Health Counselor",
          "LicenseNumber": "5405395-6004",
          "LicenseNumberStateCode": "UT",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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