Active NPI
Compass Counseling and Consulting
- Community/Behavioral Health Agency
- Salt Lake City, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 295041-2501
- Legal business name
- COMPASS COUNSELING AND CONSULTING
- Practice address
- 3970 S 700 E
Old Farm Professional Plaza #17
Salt Lake City, UT 84107-2191 - Phone
- (801) 635-4141
- Fax
- (801) 263-4333
- NPI assigned
- May 14, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Brad Lundahl, PHD
- Title
- Psychologist/Owner
- Phone
- (801) 635-4141
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 295041-2501 | UT | Primary |
Addresses
Primary practice location
3970 S 700 E
Old Farm Professional Plaza #17
Salt Lake City, UT 84107-2191
Mailing address
4000 S 700 E
Ste 9
Salt Lake City, UT 84107-2180
Phone (801) 635-4141
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150820011996 | UT | Part B Supplier - Clinic/Group Practice | 0042525990 |
Receives reassigned benefits from 15 practitioners Practice locations: Salt Lake City, UT |
National Provider Directory
National Provider Directory- Tax ID family
- Compass Counseling and Consulting
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Health Counselor
- Salt Lake City, UT
- NPI 1538696000
Locations
4000 S 700 E
Salt Lake City, UT 84107
Phone (801) 639-9544
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Mental Health Counselor
- Salt Lake City, UT
- NPI 1538696000
Practitioners & affiliated clinicians
Practitioners 18
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273795200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1494374400000",
"number": "1356669360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4000 S 700 E",
"address_2": "STE 9",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841072180",
"telephone_number": "801-635-4141",
"fax_number": "801-263-4333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3970 S 700 E",
"address_2": "OLD FARM PROFESSIONAL PLAZA #17",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841072191",
"telephone_number": "801-635-4141",
"fax_number": "801-263-4333"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPASS COUNSELING AND CONSULTING",
"organizational_subpart": "NO",
"enumeration_date": "2010-05-14",
"last_updated": "2017-05-10",
"status": "A",
"authorized_official_last_name": "LUNDAHL",
"authorized_official_first_name": "BRAD",
"authorized_official_title_or_position": "PSYCHOLOGIST/OWNER",
"authorized_official_telephone_number": "801-635-4141",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "UT",
"license": "295041-2501",
"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 May 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.