Individual provider Active NPI

Toni Marie Mazzaglia, ACMHC

  • Mental Health Counselor
  • Sandy, UT
National Provider Identifier
1356742829
Registry record updated Sep 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
9047422-6009 Issued in UT
Practice address
10209 S Dimple Dell Rd
Sandy, UT 84092-4536
Phone
(801) 838-8991
Fax
(801) 838-8920
NPI assigned
Sep 15, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2014

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 9047422-6009 UT Primary

Addresses

Primary practice location

10209 S Dimple Dell Rd
Sandy, UT 84092-4536

Mailing address

10209 S Dimple Dell Rd
Sandy, UT 84092-4536
Phone (801) 838-8991

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
9047422-6009UTMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1410739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410739200000",
    "number": "1356742829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10209 S DIMPLE DELL RD",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840924536",
            "telephone_number": "801-838-8991",
            "fax_number": "801-838-8920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10209 S DIMPLE DELL RD",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840924536",
            "telephone_number": "801-838-8991",
            "fax_number": "801-838-8920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZZAGLIA",
        "first_name": "TONI",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "ACMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-15",
        "last_updated": "2014-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "9047422-6009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2014; 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.