Owen Reynolds Ashton

Individual provider Active NPI Peer Specialist · South Salt Lake, UT

NPI 1083199533 · NPPES record last updated Aug 7, 2023

Key facts

NPI
1083199533
Entity type
Individual (NPI type 1)
Primary specialty
Peer Specialist 175T00000X
Practice address
3195 S Main St Ste 180
South Salt Lake, UT 84115-3790
Phone
(801) 983-5540
Fax
(801) 983-5542
NPI assigned
Oct 1, 2018
Sex
Male
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Silverado Counseling Services, LLC Peer Specialist Current
since Oct 5, 2021
Accepting new patients

Locations

2900 S State St
Ste 101
South Salt Lake, UT 84115
Phone (801) 983-5540

3195 S Main St
Ste 180
South Salt Lake, UT 84115
Phone (801) 867-7170

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X Yes

Addresses

Primary practice location

3195 S Main St Ste 180
South Salt Lake, UT 84115-3790

Mailing address

PO Box 824
Draper, UT 84020-0801
Phone (801) 983-5540

Other providers in South Salt Lake, UT

All providers in South Salt Lake, UT · Peer Specialist in Utah

Sources for this page

Verify at the official NPI Registry.