Active NPI
Boe Daniel Eby, A.C.M.H.C
- Mental Health Counselor
- Cottonwood Heights, UT
National Provider Identifier
1306273164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 5069670-6009
- Practice address
- 7105 S Highland Dr Ste 200
Cottonwood Heights, UT 84121-7311 - Phone
- (801) 913-5346
- NPI assigned
- Oct 10, 2013
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 5069670-6009 | UT | Primary |
Addresses
Primary practice location
7105 S Highland Dr Ste 200
Cottonwood Heights, UT 84121-7311
Mailing address
7244 W Flaxton LN
West Jordan, UT 84081-5759
Phone (801) 913-5346
Other practice location 1
5667 S Redwood Rd Unit 6B
Taylorsville, UT 84123-5495
Phone (801) 979-1351
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 |
|---|---|---|---|
| 5069670-6009 | UT | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boe Eby CMHC, LLC | Current | Accepting new patients | |
| Hopeful Beginnings | Past | Accepting new patients |
Locations
7105 S Highland Dr
Ste 200
Salt Lake City, UT 84121
Phone (801) 913-5346
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Cottonwood Heights, UT
- NPI 1891275020
-
- Community/Behavioral Health Agency
- Taylorsville, UT
- NPI 1134465909
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1381363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664150400000",
"number": "1306273164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7244 W FLAXTON LN",
"city": "WEST JORDAN",
"state": "UT",
"postal_code": "840815759",
"telephone_number": "801-913-5346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7105 S HIGHLAND DR STE 200",
"city": "COTTONWOOD HEIGHTS",
"state": "UT",
"postal_code": "841217311",
"telephone_number": "801-913-5346"
}
],
"practiceLocations": [
{
"address_1": "5667 S Redwood Rd Unit 6B",
"address_purpose": "LOCATION",
"city": "Taylorsville",
"state": "UT",
"postal_code": "841235495",
"country_code": "US",
"telephone_number": "801-979-1351",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EBY",
"first_name": "BOE",
"middle_name": "DANIEL",
"credential": "A.C.M.H.C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-10-10",
"last_updated": "2022-09-26",
"certification_date": "2022-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "UT",
"license": "5069670-6009",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cottonwood Heights, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.