NPIMap

Organization Active NPI

Confederated Tribes of the Goshute Reservation

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Salt Lake City, UT
National Provider Identifier
1194189233
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
9453799-8906 Issued in UT
Legal business name
CONFEDERATED TRIBES OF THE GOSHUTE RESERVATION
Practice address
660 S 200 E
Suite 250
Salt Lake City, UT 84111-3835
Phone
(801) 359-2256
Fax
(801) 364-7392
NPI assigned
Apr 5, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Authorized official

Name
Linda Thatcher
Title
Billing
Phone
(801) 359-2256

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 9453799-8906 UT Primary

Addresses

Primary practice location

660 S 200 E
Suite 250
Salt Lake City, UT 84111-3835

Mailing address

HC 61 Box 6104
Ibapah, UT 84034-6003
Phone (435) 234-1138

National Provider Directory

National Provider Directory
Tax ID family
Confederated Tribes of the Goshute Indian Reservation14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

Locations

660 S 200 E
Slc, UT 84111
Phone (801) 355-1528

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1459814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765411200000",
    "number": "1194189233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 61 BOX 6104",
            "city": "IBAPAH",
            "state": "UT",
            "postal_code": "840346003",
            "telephone_number": "435-234-1138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 S 200 E",
            "address_2": "SUITE 250",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841113835",
            "telephone_number": "801-359-2256",
            "fax_number": "801-364-7392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONFEDERATED TRIBES OF THE GOSHUTE RESERVATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-05",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A",
        "authorized_official_last_name": "THATCHER",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "801-359-2256"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "UT",
            "license": "9453799-8906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; 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.