Active NPI
Samuel Joseph Gorton, CMHC
- Mental Health Counselor
- Salt Lake City, UT
National Provider Identifier
1245538545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6815649-6004
- Practice address
- 5965 S 900 E
Salt Lake City, UT 84121-1720 - Phone
- (801) 263-7100
- NPI assigned
- Mar 10, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 6815649-3503 | UT | |
| Professional Counselor | 101YP2500X | LPC.0020480 | CO | |
| Mental Health Counselor | 101YM0800X | 6815649-6004 | UT | Primary |
Addresses
Primary practice location
5965 S 900 E
Salt Lake City, UT 84121-1720
Mailing address
798 Country CLB
Stansbury Park, UT 84074-9624
Phone (801) 661-6571
Other practice location 1
855 E 4800 S Ste 100
Murray, UT 84107-5513
Phone (801) 473-3963
Other practice location 2
1442 S Oakland St
Aurora, CO 80012-4235
Phone (801) 473-3963
Other practice location 3
581 W 1600 N Ste B
Orem, UT 84057-2571
Phone (801) 473-3963
Other names 1
- Joe Gorton
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 14, 2024 through Feb 14, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6815649-3503 | UT | MD | Mental Health Counselor |
| 6815649-6004 | UT | MD | Mental Health Counselor |
| LPC.0020480 | CO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foundations, Inc. | Past | Accepting new patients | |
| Foundations, Inc. | Past | Accepting new patients | |
| Papilion Integrated Recovery Centers | Past | Accepting new patients | |
| Foundations, Inc. | Past | Accepting new patients | |
| Foundations, Inc. | Past | Accepting new patients | |
| Foundations, Inc. | Past | Accepting new patients |
Organizations & group practices 6
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.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Orem, UT
- NPI 1023474509
-
- Multi-Specialty Clinic/Center
- Pueblo, CO
- NPI 1295582583
-
- Multi-Specialty Clinic/Center
- Loveland, CO
- NPI 1467200311
-
- Community/Behavioral Health Agency
- Fort Collins, CO
- NPI 1578395414
-
- Multi-Specialty Clinic/Center
- Aurora, CO
- NPI 1831921782
-
- Community/Behavioral Health Agency
- Denver, CO
- NPI 1942032883
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711065600000",
"number": "1245538545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "798 COUNTRY CLB",
"city": "STANSBURY PARK",
"state": "UT",
"postal_code": "840749624",
"telephone_number": "801-661-6571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5965 S 900 E",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841211720",
"telephone_number": "801-263-7100"
}
],
"practiceLocations": [
{
"address_1": "855 E 4800 S Ste 100",
"address_purpose": "LOCATION",
"city": "Murray",
"state": "UT",
"postal_code": "841075513",
"country_code": "US",
"telephone_number": "801-473-3963",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1442 S Oakland St",
"address_purpose": "LOCATION",
"city": "Aurora",
"state": "CO",
"postal_code": "800124235",
"country_code": "US",
"telephone_number": "801-473-3963",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "581 W 1600 N Ste B",
"address_purpose": "LOCATION",
"city": "Orem",
"state": "UT",
"postal_code": "840572571",
"country_code": "US",
"telephone_number": "801-473-3963",
"fax_number": "801-797-1220",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GORTON",
"first_name": "SAMUEL",
"middle_name": "JOSEPH",
"name_prefix": "Mr.",
"credential": "CMHC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-03-10",
"last_updated": "2024-03-22",
"certification_date": "2024-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "UT",
"license": "6815649-3503",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "LPC.0020480",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "UT",
"license": "6815649-6004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JOE",
"last_name": "GORTON",
"credential": "CMHC",
"code": "2",
"type": "Professional Name"
}
]
}
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 Mar 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.