Individual provider Active NPI

Saimoa Sam Amosa, AA, AS, BA

  • Counselor
  • West Valley City, UT
National Provider Identifier
1164203667
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
2880 W 3650 S
West Valley City, UT 84119-3743
Phone
(801) 943-4636
NPI assigned
Oct 10, 2023
Last updated
Oct 10, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X UT Primary

Addresses

Primary practice location

2880 W 3650 S
West Valley City, UT 84119-3743

Mailing address

241 Reddington LN Apt 132
Tooele, UT 84074-3458
Phone (801) 739-5575

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
Credentials
Associate of Arts, Associate of Science, Bachelor of Arts

NPI Registry JSON

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

{
    "created_epoch": "1696896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1164203667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 REDDINGTON LN APT 132",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840743458",
            "telephone_number": "801-739-5575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2880 W 3650 S",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841193743",
            "telephone_number": "801-943-4636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMOSA",
        "first_name": "SAIMOA",
        "middle_name": "SAM",
        "credential": "AA, AS, BA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-10-10",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "UT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Valley City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; 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.