Shauna Light, ACHMC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

13788659-6009 Issued in UT

Practice address

1125 W Center St
Orem, UT 84057-5207

Phone

(801) 903-5903

NPI assigned

Dec 26, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Allred Psychological Services

  • Clinical Psychologist
  • Orem, UT
  • NPI 1720512270
  NPD
• Kelly Wosnik Inc

  • Clinic/Center
  • Orem, UT
  • NPI 1346549060
  NPD

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

{
    "created_epoch": "1735171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735171200000",
    "number": "1376351049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "852 W 1560 N",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840572957",
            "telephone_number": "801-787-2969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 W CENTER ST",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840575207",
            "telephone_number": "801-903-5903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIGHT",
        "first_name": "SHAUNA",
        "credential": "ACHMC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-26",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "13788659-6009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Life Chiropractic
• Life Empowered Therapy Services, LLC
• Life Launch Centers of South Salt Lake
• Life Rescue Foundation
• Lifetime Products Inc
• Leslie L Lilino, MA, BCBA
• Dan Ross Lillywhite, D.P.T.
• Marcos Antonio Limeira Segundo, APRN
• Lincare Inc.
• Linden Tree Therapy LLC

• Mental Health Counselor in Orem, UT
• Providers in Orem, UT by specialty
• Mental Health Counselor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.