Shanalyn Hunsaker, LMFT
Individual provider Active NPI Marriage & Family Therapist · Farr West, UT
NPI 1124679600 · NPPES record last updated Sep 30, 2024
Key facts
- NPI
- 1124679600
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 11475086-3902 (UT)
- Practice address
- 2850 N 2000 W Ste 101
Farr West, UT 84404-9230 - Phone
- (801) 528-5095
- Fax
- (801) 528-5094
- NPI assigned
- Sep 25, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 8
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Revere Health PC
Practice addresses (Care Compare)
2850 N 2000
Suite 101
Farr West, UT 84404-9230
Phone (801) 528-5095
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240318002512 | UT | Practitioner - Mental Health Counselor | 6608213350 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles (4 of 6)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Revere Health PC | Current |
Accepting new patients | |
| Revere Health PC | Current |
Accepting new patients | |
| Weber Human Services | Current |
Accepting new patients | |
| Weber Human Services | Current |
Accepting new patients |
Locations
2850 N 2000 W
Ste 201
Farr West, UT 84404
Phone (801) 354-0941
237 26th St
Ogden, UT 84401
Phone (801) 625-3605
2850 N 2000 W
Ste 101
Ogden, UT 84404
Phone (801) 528-5095
1055 N 500 W
Provo, UT 84604
Phone (801) 429-8000
Networks
- UT PPO
- UT PPO D-SNP
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 11475086-3902 | UT | Yes |
Addresses
Primary practice location
2850 N 2000 W Ste 101
Farr West, UT 84404-9230
Mailing address
1055 N 500 W
Att Credentialing
Provo, UT 84604
Phone (801) 354-8225
Other practice location 1
237 26th St
Ogden, UT 84401-3105
Phone (801) 352-3700
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 260022408 | Other | UT | RAILRAOD MEDICARE |
| 000055266 | Other | UT | MEDICARE PIN |
| 8760003008007 | Medicaid | UT |
Other names
- Shanalyn Wheeler
Other providers in Farr West, UT
- Michaela Sofia Higashiyama
- Kaiya Hoki
- Dean Allen Holloway
- Cameron Keith Hoskisson
- Trinity Maire Hughes-Berger
- Derek A. Jennings
- Ahnika M Jensen
- Emma Noelle Jensen
- Jerry L. Shaw, D.D.S.
- Joshua Jorgensen
All providers in Farr West, UT · Marriage & Family Therapist in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.