Active NPI
Deidra Plummer
- Mental Health Counselor
- Salt Lake City, UT
National Provider Identifier
1336710847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 12294546-6004
- Practice address
- 150 S 600 E Ste 9C
Salt Lake City, UT 84102-1989 - Phone
- (385) 350-0384
- NPI assigned
- Jul 6, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Mental Health Counselor | 101YM0800X | 12294546-6004 | UT | Primary |
Addresses
Primary practice location
150 S 600 E Ste 9C
Salt Lake City, UT 84102-1989
Mailing address
1255 E 300 S Unit 1
Salt Lake City, UT 84102-3945
Phone (973) 368-3300
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 |
|---|---|---|---|
| 12294546-6004 | UT | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698019200000",
"number": "1336710847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1255 E 300 S UNIT 1",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841023945",
"telephone_number": "973-368-3300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 S 600 E STE 9C",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841021989",
"telephone_number": "385-350-0384"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLUMMER",
"first_name": "DEIDRA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-06",
"last_updated": "2023-10-23",
"certification_date": "2023-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "UT",
"license": "12294546-6004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Oct 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.