Wasatch G O D Medical LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

WASATCH G O D MEDICAL LLC

Practice address

2480 S Main St Ste 108
South Salt Lake, UT 84115-5002

Phone

(385) 612-1794

NPI assigned

Nov 11, 2025

Organization subpart

No

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

Authorized official

Name

Tyree KnightNPI 1598530362

Title

Manager

Phone

(385) 612-1794

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tyree Knight

  • Personal Care Attendant
  • Las Vegas, NV
  • NPI 1598530362
  NPD Authorized official

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

{
    "created_epoch": "1762819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762819200000",
    "number": "1114897345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2480 S MAIN ST STE 108",
            "city": "SOUTH SALT LAKE",
            "state": "UT",
            "postal_code": "841155002",
            "telephone_number": "385-612-1794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2480 S MAIN ST STE 108",
            "city": "SOUTH SALT LAKE",
            "state": "UT",
            "postal_code": "841155002",
            "telephone_number": "385-612-1794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASATCH G O D MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-11",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A",
        "authorized_official_last_name": "KNIGHT",
        "authorized_official_first_name": "TYREE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "385-612-1794"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anafernanda Walker, CSWI
• Kevynne Walker
• Zhan Wang
• Shaun Elizabeth Ward, MSW, CSW
• Wasatch Artificial Kidney Center LLC
• Jessica Wassink, EDS
• Lisa D Watson, COTA/L
• Alisa Webb, LCSW
• Gina Margoth Wehling
• Mark Alan Weisbender, LCSW

• Mental Health Counselor in South Salt Lake, UT
• Providers in South Salt Lake, UT by specialty
• Mental Health Counselor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2025; 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.