Active NPI
Dallas Bean
- Clinical Social Worker
- Sandy, UT
National Provider Identifier
1013215599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 89496483501
- Practice address
- 11075 S State St Ste 14
Sandy, UT 84070-5194 - Phone
- (385) 539-4031
- NPI assigned
- Mar 7, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 89496483501 | UT | Primary |
Addresses
Primary practice location
11075 S State St Ste 14
Sandy, UT 84070-5194
Mailing address
11075 S State St Ste 14
Sandy, UT 84070-5194
Phone (385) 539-4031
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 89496483501 | UT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wasatch Behavioral Health Special Service District | Current | Accepting new patients | |
| Wasatch Behavioral Health Special Service District | Current | Accepting new patients | |
| Bean Counseling & Recovery LLC | Clinical | Current | Accepting new patients |
Locations
55 S 5th E
Heber City, UT 84032
Phone (435) 654-2700
750 N Freedom Blvd
Provo, UT 84601
Phone (801) 373-0639
750 N Freedom Blvd
Ste 300
Provo, UT 84601
Phone (801) 373-4763
11075 S State St
Ste 14
Sandy, UT 84070
Phone (385) 539-4031
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Provo, UT
- NPI 1356357115
-
- Clinical Social Worker
- Sandy, UT
- NPI 1023590932
-
- Clinical Medical Laboratory
- Orem, UT
- NPI 1669257556
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745884800000",
"number": "1013215599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11075 S STATE ST STE 14",
"city": "SANDY",
"state": "UT",
"postal_code": "840705194",
"telephone_number": "385-539-4031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11075 S STATE ST STE 14",
"city": "SANDY",
"state": "UT",
"postal_code": "840705194",
"telephone_number": "385-539-4031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEAN",
"first_name": "DALLAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-03-07",
"last_updated": "2025-04-29",
"certification_date": "2025-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "UT",
"license": "89496483501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sandy, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.