Individual provider Active NPI

Miriam Eileen Buell, CMHC

  • Mental Health Counselor
  • Tooele, UT
National Provider Identifier
1063995165
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
10991886-6004 Issued in UT
Practice address
22 W Vine St
Tooele, UT 84074-2035
Phone
(385) 409-0363
Fax
(385) 379-4247
NPI assigned
Sep 13, 2018
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 10991886-6004 UT Primary

Addresses

Primary practice location

22 W Vine St
Tooele, UT 84074-2035

Mailing address

3923 Spiral Springs Rd
Erda, UT 84074-5539
Phone (385) 409-0363

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260107003335 UT Practitioner - Mental Health Counselor 2264918549 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

66 W Vine St
Tooele, UT 84074-2185

937 W Big Ben LN
J201
Saratoga Springs, UT 84045-4961

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10991886-6004UTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Aspen Ridge Counseling LLC CurrentSince Jul 21, 2024 Accepting new patients
Graceful Growth Clinic LLC Mental Health CurrentSince Oct 19, 2025 Accepting new patients

Locations

50 N Main St
Tooele, UT 84074
Phone (801) 634-8727

66 W Vine St
Tooele, UT 84074
Phone (385) 409-0363

66 W Vine St
Ste 6
Tooele, UT 84074
Phone (801) 928-8980

71 N 50 W
Tooele, UT 84074

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1536796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1063995165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3923 SPIRAL SPRINGS RD",
            "city": "ERDA",
            "state": "UT",
            "postal_code": "840745539",
            "telephone_number": "385-409-0363",
            "fax_number": "385-379-4247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 W VINE ST",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840742035",
            "telephone_number": "385-409-0363",
            "fax_number": "385-379-4247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUELL",
        "first_name": "MIRIAM",
        "middle_name": "EILEEN",
        "credential": "CMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-13",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "10991886-6004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tooele, UT

Sources for this page

Verify at the official NPI Registry.