Individual provider Active NPI

Rachelle Gleason, LCMHC

  • Mental Health Counselor
  • Pleasant Grove, UT
National Provider Identifier
1124753231
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
11390714-6004 Issued in UT
Practice address
437 E 1000 S Ste 200
Pleasant Grove, UT 84062-3623
Phone
(801) 921-3619
NPI assigned
Jul 21, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 11390714-6004 UT Primary

Addresses

Primary practice location

437 E 1000 S Ste 200
Pleasant Grove, UT 84062-3623

Mailing address

PO Box 796
Pleasant Grove, UT 84062-0796

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
11390714-6004UTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
True Self Counseling Mental Health CurrentSince Jan 14, 2024 Accepting new patients
Sequoia Wellness LLC Mental Health CurrentSince Mar 31, 2024 Accepting new patients

Locations

1111 E Draper Pkwy
Ste 103
Draper, UT 84020
Phone (801) 829-1508

437 E 1000 S
#200
Pleasant Grove, UT 84062
Phone (801) 921-3619

Organizations & group practices 2

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": "1658361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1124753231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 796",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840620796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "437 E 1000 S STE 200",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840623623",
            "telephone_number": "801-921-3619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLEASON",
        "first_name": "RACHELLE",
        "credential": "LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-21",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "11390714-6004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasant Grove, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.