Active NPI
Glenn Dutton, CPCI
- Professional Counselor
- Taylorsville, UT
National Provider Identifier
1255507612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 274192-6009
- Practice address
- 5691 S Redwood Rd Unit 16
Taylorsville, UT 84123-5485 - Phone
- (801) 265-3895
- Fax
- (801) 263-1265
- NPI assigned
- May 6, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 274192-6009 | UT | Primary |
Addresses
Primary practice location
5691 S Redwood Rd Unit 16
Taylorsville, UT 84123-5485
Mailing address
5691 S Redwood Rd Unit 16
Taylorsville, UT 84123-5485
Phone (801) 265-3895
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 274192-6009 | UT | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210032000000",
"number": "1255507612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5691 S REDWOOD RD UNIT 16",
"city": "TAYLORSVILLE",
"state": "UT",
"postal_code": "841235485",
"telephone_number": "801-265-3895",
"fax_number": "801-263-1265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5691 S REDWOOD RD UNIT 16",
"city": "TAYLORSVILLE",
"state": "UT",
"postal_code": "841235485",
"telephone_number": "801-265-3895",
"fax_number": "801-263-1265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUTTON",
"first_name": "GLENN",
"credential": "CPCI",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-06",
"last_updated": "2008-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "UT",
"license": "274192-6009",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Taylorsville, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.