Active NPI
Trace W Lund
- Mental Health Counselor
- West Valley City, UT
National Provider Identifier
1386201887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 13939815-6004
- Practice address
- 3737 W 4100 S
West Valley City, UT 84120-5543 - Phone
- (888) 949-4864
- NPI assigned
- May 21, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 13939815-6004 | UT | Primary |
Addresses
Primary practice location
3737 W 4100 S
West Valley City, UT 84120-5543
Mailing address
3725 W 4100 S Ste 201
West Valley City, UT 84120-6490
Phone (888) 949-4864
Medicare participation
Medicare enrollment files- 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
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2024
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Murray, UT 84157
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13939815-6009 | UT | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782345600000",
"number": "1386201887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3725 W 4100 S STE 201",
"city": "WEST VALLEY CITY",
"state": "UT",
"postal_code": "841206490",
"telephone_number": "888-949-4864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3737 W 4100 S",
"city": "WEST VALLEY CITY",
"state": "UT",
"postal_code": "841205543",
"telephone_number": "888-949-4864"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUND",
"first_name": "TRACE",
"middle_name": "W",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-05-21",
"last_updated": "2026-06-25",
"certification_date": "2026-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "UT",
"license": "13939815-6004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Valley City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; 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.
- 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.