Individual provider Active NPI

Paul L Woolf, CMHC

  • Professional Counselor
  • Taylorsville, UT
National Provider Identifier
1184681835
Registry record updated Jul 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
367516004 Issued in UT
Practice address
5689 S Redwood Rd Unit 27
Taylorsville, UT 84123-5499
Phone
(801) 266-2485
NPI assigned
Apr 27, 2006
Last updated
Jul 14, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 367516004 UT Primary

Addresses

Primary practice location

5689 S Redwood Rd Unit 27
Taylorsville, UT 84123-5499

Mailing address

5689 S Redwood Rd Unit 27
Taylorsville, UT 84123-5499
Phone (801) 266-2485

Other identifiers 1

IdentifierTypeStateIssuer
107032318101OtherUTIHC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240815001747 UT Practitioner - Mental Health Counselor 1355889874 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2002
Medicare assignment
May accept Medicare assignment
Group practices
Karen W. Malm, PH.D., P.C.Group PAC ID 4284732835, 11 clinicians

Practice addresses (Care Compare)

5689 S Redwood Rd
Unit 27
Taylorsville, UT 84123-5499
Phone (801) 266-2485

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
367516004UTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Karen W. Malm, PH.D., P.C. CurrentSince May 23, 2024 Accepting new patients

Locations

5689 S Redwood Rd
Ste 27
Taylorsville, UT 84123
Phone (801) 266-2485

5689 S Redwood Rd
Unit 27
Taylorsville, UT 84123
Phone (801) 266-2485

Organizations & group practices 1

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": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468454400000",
    "number": "1184681835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5689 S REDWOOD RD UNIT 27",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841235499",
            "telephone_number": "801-266-2485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5689 S REDWOOD RD UNIT 27",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841235499",
            "telephone_number": "801-266-2485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOLF",
        "first_name": "PAUL",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "CMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2016-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "UT",
            "license": "367516004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHC",
            "identifier": "107032318101",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylorsville, UT

Sources for this page

Verify at the official NPI Registry.