Susan Jean Barrus
Individual provider Active NPI Mental Health Counselor · Lehi, UT
NPI 1336895176 · NPPES record last updated Apr 3, 2024
Key facts
- NPI
- 1336895176
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 331396-6004 (UT)
- Practice address
- 2989 W Maple Loop Dr Ste 210
Lehi, UT 84043-7413 - Phone
- (801) 407-4134
- Fax
- (801) 877-0864
- NPI assigned
- Mar 1, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 331396-6004 | UT | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sela Health, PLLC | Mental Health | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 331396-6004 | UT | Yes |
Addresses
Primary practice location
2989 W Maple Loop Dr Ste 210
Lehi, UT 84043-7413
Mailing address
4626 N 300 W Ste 150
Provo, UT 84604-6077
Phone (801) 407-4134
Other practice location 1
4626 N 300 W Ste 150
Provo, UT 84604-6077
Phone (801) 407-4134
Other names
- Susan Larsen
Other providers in Lehi, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 3, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.