Individual provider Active NPI

Tamara Middleton, CMHC

  • Mental Health Counselor
  • South Salt Lake, UT
National Provider Identifier
1114136090
Registry record updated Sep 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
5459608-6004 Issued in UT
Practice address
3195 S Main St Ste 180
South Salt Lake, UT 84115-3790
Phone
(801) 983-5540
Fax
(801) 983-5542
NPI assigned
May 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2021

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 5459608-6004 UT Primary

Addresses

Primary practice location

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

Mailing address

PO Box 521207
Salt Lake City, UT 84152-1207
Phone (801) 983-5540

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5459608-6004UTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Silverado Counseling Services, LLC Mental Health CurrentSince Sep 1, 2019 Accepting new patients

Locations

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632960000000",
    "number": "1114136090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 521207",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841521207",
            "telephone_number": "801-983-5540",
            "fax_number": "801-983-5542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3195 S MAIN ST STE 180",
            "city": "SOUTH SALT LAKE",
            "state": "UT",
            "postal_code": "841153790",
            "telephone_number": "801-983-5540",
            "fax_number": "801-983-5542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIDDLETON",
        "first_name": "TAMARA",
        "credential": "CMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "5459608-6004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Salt Lake, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.