SALT CITY MENTAL HEALTH INC. (NPI# 1952915084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952915084 |
| Entity Type | Organization |
| Organization Name | SALT CITY MENTAL HEALTH INC. |
| Practice Address |
503 W 2600 S Ste 200 Bountiful UT 84010-7717 |
| Mailing Address |
1653 S 500 E Bountiful UT 84010-4037 |
| Practice Telephone | 8017067607 |
| Practice Fax Number | 3853990032 |
| Mailing Telephone | 8017067607 |
| Mailing Fax Number | 3853990032 |
| Enumeration Date | 2020-09-05 |
| Last Update Date | 2020-09-05 |
| Authorized Official Name | MR. DUSTIN HALL (PRESIDENT/OWNER) |
| Authorized Official Telephone | 8017067607 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
503 W 2600 S STE 200 |
| City | BOUNTIFUL |
| State | UT |
| Zip Code | 84010-7717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407082787 | Broadway Investments LLC | Hospice Care, Community Based | 503 W 2600 S Ste 200, Bountiful, UT 84010-7717 | 2009-06-01 |
| 1033612072 | Molokai Marriage & Family Therapy LLC | Clinic/Center | 503 W 2600 S Ste 200, Bountiful, UT 84010-7717 | 2018-03-15 |
| 1033463765 | Angela L Hinkle | Marriage & Family Therapist | 503 W 2600 S Ste 200, Bountiful, UT 84010-7717 | 2012-11-02 |
| 1558627273 | Tlc Hospice | Hospice Care, Community Based | 503 W 2600 S Ste 200, Bountiful, UT 84010-7717 | 2012-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225699192 | Jessyca K Willie | Behavior Technician | 415 S. Medical Drive Suite D101, Bountiful, UT 84010 | 2019-06-21 |
| 1336634344 | Shanna Joy Jaggers | Social Worker | 2333 S 200 E, Bountiful, UT 84010 | 2018-06-22 |
| 1447773171 | Live Life Alarms | Emergency Response System Companies | 640 South 500 West, Bountiful, UT 84010 | 2017-07-25 |
| 1902328842 | Hailey Embley | Behavior Technician | 415 Medical Drive D 101, Bountiful, UT 84010 | 2017-07-12 |
| 1508318031 | Beverly Nielsen | Psychologist | 1001 Lakeview Drive, Bountiful, UT 84010 | 2016-11-01 |
| 1295287720 | Samantha Oslund | Speech-Language Pathologist | 415 Medical Dr Ste B102, Bountiful, UT 84010 | 2016-11-01 |
| 1750748273 | Jeremy Clark Morris | Dentist | 59 W 1600 N, Suite 110, Bountiful, UT 84010 | 2016-01-28 |
| 1629464706 | Shane James | Speech-Language Pathologist | 425 Medical Dr Ste 122, Bountiful, UT 84010 | 2015-04-15 |
| 1891186102 | Kenton Francis | Social Worker | 1355 North Main Street #1, Bountiful, UT 84010 | 2015-02-09 |
| 1205233855 | Modern Dental Professionals - Utah, PC | Dentist | 24 S. 500 West, #a, Bountiful, UT 84010 | 2014-11-25 |
| Find all providers in zip 84010 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699309252 | Stephen R Geis | Counselor | 585 W 500 S Ste 200, Bountiful, UT 84010-8321 | 2020-02-22 |
| 1487179271 | Andrea Danielle Hanson | Counselor | 11 W 2750 S, Bountiful, UT 84010-6418 | 2017-08-14 |
| 1972049450 | Kelly Jean Pickering | Counselor | 146 W 300 S Ste 104, Bountiful, UT 84010-6250 | 2017-01-09 |
| 1225417470 | Center for Anxiety and Ptsd | Counselor | 506 S Main St # 100, Bountiful, UT 84010-6341 | 2015-05-20 |
| 1811167273 | Martha Ann Keil | Counselor | 1470 N Main St, Suite B, Bountiful, UT 84010-5995 | 2008-03-01 |
| 1538175658 | Glen Hammond | Counselor | 470 E Medical Dr, Bountiful, UT 84010 | 2006-07-31 |
| 1588606925 | Brooke Ann Simmons | Counselor | 406 N Main St, Bountiful, UT 84010-6035 | 2006-06-11 |
| 1376140798 | Laura Alicia Lucky | Counselor | 415 Medical Dr Ste D101, Bountiful, UT 84010-8905 | 2020-10-08 |
| 1972111086 | Aqsa Dalal | Counselor | 1459 N Main St, Bountiful, UT 84010-6092 | 2020-07-15 |
| 1992330732 | Justin Manco | Counselor | 415 Medical Dr Ste D101, Bountiful, UT 84010-8905 | 2020-03-11 |
| Find all providers in BOUNTIFUL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.