Individual provider Active NPI

Samuel Joseph Gorton, CMHC

  • Mental Health Counselor
  • Salt Lake City, UT
National Provider Identifier
1245538545
Registry record updated Mar 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6815649-6004 Issued in UT
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

Updated by the provider on Mar 22, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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 Professional name

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

LicenseStateTypeSpecialty
6815649-3503UTMDMental Health Counselor
6815649-6004UTMDMental Health Counselor
LPC.0020480COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Foundations, Inc. PastSince Aug 25, 2024 Accepting new patients
Foundations, Inc. PastSince May 12, 2024 Accepting new patients
Papilion Integrated Recovery Centers PastSince Aug 16, 2020 Accepting new patients
Foundations, Inc. PastSince Aug 25, 2024 Accepting new patients
Foundations, Inc. PastSince May 7, 2024 Accepting new patients
Foundations, Inc. PastSince Aug 25, 2024 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.

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

Verify at the official NPI Registry.