Individual provider Active NPI

Sara Jean Sorenson, CMHC

  • Mental Health Counselor
  • Draper, UT
National Provider Identifier
1346860228
Registry record updated Apr 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
9668501-6004 Issued in UT
Practice address
12608 S 125 W Ste E
Draper, UT 84020-8437
Phone
(385) 213-9969
NPI assigned
Apr 21, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 9668501-6004 UT Primary

Addresses

Primary practice location

12608 S 125 W Ste E
Draper, UT 84020-8437

Mailing address

14133 S Senior Band Rd
Draper, UT 84020-7515
Phone (801) 556-3308

Other practice location 1

14133 S Senior Band Rd
Draper, UT 84020-7515
Phone (801) 556-3308

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

LicenseStateTypeSpecialty
9668501-6004UTMDMental Health Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1587427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587427200000",
    "number": "1346860228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14133 S SENIOR BAND RD",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840207515",
            "telephone_number": "801-556-3308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12608 S 125 W STE E",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840208437",
            "telephone_number": "385-213-9969"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14133 S Senior Band Rd",
            "address_purpose": "LOCATION",
            "city": "Draper",
            "state": "UT",
            "postal_code": "840207515",
            "country_code": "US",
            "telephone_number": "801-556-3308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SORENSON",
        "first_name": "SARA",
        "middle_name": "JEAN",
        "credential": "CMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-21",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "9668501-6004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Draper, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.