Individual provider Active NPI

Trevor James

  • Mental Health Counselor
  • Kaysville, UT
National Provider Identifier
1396413167
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
375 N Main St Ste 202
Kaysville, UT 84037-1278
Phone
(801) 844-1615
NPI assigned
Sep 5, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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 UT Primary

Addresses

Primary practice location

375 N Main St Ste 202
Kaysville, UT 84037-1278

Mailing address

375 N Main St Ste 202
Kaysville, UT 84037-1278
Phone (801) 844-1615

Other practice location 1

430 E 450 S
Clearfield, UT 84015-1736
Phone (801) 815-3443

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241023003913 UT Practitioner - Mental Health Counselor 2860925260 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Numinus Wellness Ut IncGroup PAC ID 2163750688, 50 clinicians
Great Salt Lake Wellness IncGroup PAC ID 4789985680, 6 clinicians

Practice addresses (Care Compare)

2950 N Church St
Suite 101
Layton, UT 84040-6504
Phone (801) 369-8989

375 N Main St
Suite 202
Kaysville, UT 84037-1278
Phone (801) 844-1615

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Great Salt Lake Wellness Inc CurrentSince Oct 11, 2024 Accepting new patients
Numinus Wellness Ut Inc CurrentSince Oct 5, 2025 Accepting new patients
Ogden Internal Medicine & Urology LLC PastSince Oct 5, 2025 Accepting new patients
Youth Health Associates, LLC PastSince Sep 1, 2021 Accepting new patients

Locations

375 N Main St
Ste 202
Kaysville, UT 84037
Phone (385) 231-1500

2950 N Church St
Ste 101
Layton, UT 84040
Phone (801) 771-7202

672 W 400 S
Ste 201
Springville, UT 84663
Phone (208) 680-8226

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1630800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1396413167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 N MAIN ST STE 202",
            "city": "KAYSVILLE",
            "state": "UT",
            "postal_code": "840371278",
            "telephone_number": "801-844-1615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 N MAIN ST STE 202",
            "city": "KAYSVILLE",
            "state": "UT",
            "postal_code": "840371278",
            "telephone_number": "801-844-1615"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "430 E 450 S",
            "address_purpose": "LOCATION",
            "city": "Clearfield",
            "state": "UT",
            "postal_code": "840151736",
            "country_code": "US",
            "telephone_number": "801-815-3443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAMES",
        "first_name": "TREVOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-05",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kaysville, UT

Sources for this page

Verify at the official NPI Registry.