Individual provider Active NPI

Sasha Loutensock, CMHC INTERN

  • Professional Counselor
  • West Valley, UT
National Provider Identifier
1174272231
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC016756 Issued in GA
Practice address
2655 S Lake Erie Dr Ste B
West Valley, UT 84120-7351
Phone
(385) 441-4900
NPI assigned
Mar 23, 2022
Last updated
May 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC016756 GA Primary
Mental Health Counselor 101YM0800X 13389638-6004 UT

Addresses

Primary practice location

2655 S Lake Erie Dr Ste B
West Valley, UT 84120-7351

Mailing address

100 Cottage Gate Lane
Roswell, GA 30076
Phone (801) 503-6368

Other practice location 1

100 Cottage Gate Lane
Roswell, GA 30076
Phone (770) 901-1704

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
13389638-6004UTMDMental Health Counselor
LPC016756GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Project Connection Utah LLC Mental Health CurrentSince Jun 29, 2025 Accepting new patients
Project Connection Utah Mental Health CurrentSince Dec 5, 2024 Accepting new patients

Locations

2655 S Lake Erie Dr
Ste B
West Valley City, UT 84120
Phone (385) 441-4900

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1647993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778112000000",
    "number": "1174272231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 COTTAGE GATE LANE",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "30076",
            "telephone_number": "801-503-6368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 S LAKE ERIE DR STE B",
            "city": "WEST VALLEY",
            "state": "UT",
            "postal_code": "841207351",
            "telephone_number": "385-441-4900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Cottage Gate Lane",
            "address_purpose": "LOCATION",
            "city": "Roswell",
            "state": "GA",
            "postal_code": "30076",
            "country_code": "US",
            "telephone_number": "770-901-1704",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOUTENSOCK",
        "first_name": "SASHA",
        "credential": "CMHC INTERN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-23",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC016756",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "13389638-6004",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Valley, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2026; 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.