NPIMap

Organization Active NPI

Compass Counseling and Consulting

  • Community/Behavioral Health Agency
  • Salt Lake City, UT
National Provider Identifier
1356669360
Registry record updated May 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
295041-2501 Issued in UT
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
Last updated
May 10, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2017

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

Authorized official

Name
Dr. Brad Lundahl, PHDNPI 1033239827
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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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 Consulting2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

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.

Verify at the official NPI Registry.