Individual provider Active NPI

David Zane, LCMHC

  • Mental Health Counselor
  • Draper, UT
National Provider Identifier
1235771411
Registry record updated Oct 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
11481306-6004 Issued in UT
Practice address
13268 S Aintree Ave
Draper, UT 84020-8831
Phone
(801) 502-8134
NPI assigned
Oct 9, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2019

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 11481306-6004 UT Primary

Addresses

Primary practice location

13268 S Aintree Ave
Draper, UT 84020-8831

Mailing address

13268 S Aintree Ave
Draper, UT 84020-8831
Phone (248) 633-6329

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
I20240611000848 UT Practitioner - Mental Health Counselor 6406277193 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

9980 S 300
Suite 200
Sandy, UT 84070-3654
Phone (801) 285-7403

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Associates of Utah a Professional Corporation Mental Health CurrentSince Oct 9, 2019 Accepting new patients

Locations

240 N East Promontory
Ste 200
Farmington, UT 84025
Phone (801) 218-3500

50 W Broadway
Ste 300
Salt Lake Cty, UT 84101
Phone (208) 244-8085

9980 S 300 W
Ste 200
Sandy, UT 84070
Phone (801) 285-7403

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1570579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570579200000",
    "number": "1235771411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13268 S AINTREE AVE",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840208831",
            "telephone_number": "248-633-6329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13268 S AINTREE AVE",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840208831",
            "telephone_number": "801-502-8134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZANE",
        "first_name": "DAVID",
        "credential": "LCMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-09",
        "last_updated": "2019-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "11481306-6004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Draper, UT

Sources for this page

Verify at the official NPI Registry.