Active NPI
Sara Jean Sorenson, CMHC
- Mental Health Counselor
- Draper, UT
National Provider Identifier
1346860228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 9668501-6004
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 9668501-6004 | UT | MD | Mental 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
- Solara Care LLC
- Gabrielle Soleil
- Alyson Solomon
- Solutions Counseling and Consulting, PLLC
- Christopher James Sorensen, M.D.
- Sotto Health Systems Inc (Optimal Performance Clinic)
- South Hills Eye Care Associates, L.L.C.
- South Summit Pediatrics. LLC
- South Towne Anesthesia LLC
- South Valley Healthcare, Inc. (Draper Rehabilitation and Care Center)
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.