Individual provider Active NPI

Sharlene Christensen, CMHC

  • Mental Health Counselor
  • Herriman, UT
National Provider Identifier
1114220092
Registry record updated Oct 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6078750-6004 Issued in UT
Practice address
13878 S. Ken CV
Herriman, UT 84096
Phone
(801) 910-9558
NPI assigned
Dec 14, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2013

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 6078750-6004 UT Primary

Addresses

Primary practice location

13878 S. Ken CV
Herriman, UT 84096

Mailing address

13878 S Ken CV
Herriman, UT 84096-3907
Phone (801) 910-9558

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
6078750-6004UTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Landmark Family Counseling Mental Health CurrentSince Aug 7, 2022 Accepting new patients

Locations

871 S Orem Blvd
Orem, UT 84058
Phone (385) 204-6554

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": "1292284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382486400000",
    "number": "1114220092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13878 S KEN CV",
            "city": "HERRIMAN",
            "state": "UT",
            "postal_code": "840963907",
            "telephone_number": "801-910-9558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13878 S. KEN CV",
            "city": "HERRIMAN",
            "state": "UT",
            "postal_code": "84096",
            "telephone_number": "801-910-9558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTENSEN",
        "first_name": "SHARLENE",
        "name_prefix": "Ms.",
        "credential": "CMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-14",
        "last_updated": "2013-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "6078750-6004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Herriman, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2013; 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.