First Step House

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

FIRST STEP HOUSE

Practice address

411 Grant St
Salt Lake City, UT 84116-2725

Phone

(801) 359-8862

NPI assigned

Aug 1, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Shawn McMillen

Title

Executive Director

Phone

(801) 359-8862

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• First Step House

  • Family Medicine Physician
  • Salt Lake City, UT
  • NPI 1053077255

  O20250701002884

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

First Step House4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• First Step House

  • Family Medicine Physician
  • Salt Lake City, UT
  • NPI 1053077255
  NPD tax ID
• First Step House

  • Case Management Agency
  • Salt Lake City, UT
  • NPI 1295530582
  NPD tax ID
• First Step House

  • Clinical Medical Laboratory
  • Salt Lake City, UT
  • NPI 1659618395
  NPD tax ID

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jared D Ferguson, LCSW

  • Clinical Social Worker
  • Salt Lake City, UT
  • NPI 1396971271
  Medicare reassignment NPD
• Shane A Archibald, RN, DNP, APRN, FNP-C

  • Family Nurse Practitioner
  • Bountiful, UT
  • NPI 1861155228
  Medicare reassignment
• Calvin John Olson, CMHC

  • Mental Health Counselor
  • Salt Lake City, UT
  • NPI 1487238820
  NPD (past)

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612396800000",
    "number": "1376550566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 S 500 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841022705",
            "telephone_number": "801-359-8862",
            "fax_number": "801-359-8510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 GRANT ST",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841162725",
            "telephone_number": "801-359-8862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST STEP HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2021-02-04",
        "certification_date": "2021-01-13",
        "status": "A",
        "authorized_official_last_name": "MCMILLEN",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "801-359-8862",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• First Hand Medical, LLC
• First Med East Physical Therapy LLC
• First Step House
• First Step House
• First Step House
• First Step House
• First Step House
• Firstmed Central LLC
• Firstmed East LLC
• Ada Jennifer Fischbach, M.D.

• Substance Abuse Rehabilitation Facility in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Substance Abuse Rehabilitation Facility in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.