Active NPI
Sage Canyon Counseling, PLLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Holladay, UT
National Provider Identifier
1417664897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- SAGE CANYON COUNSELING, PLLC
- Practice address
- 2290 E 4500 S Ste 180
Holladay, UT 84117-4493 - Phone
- (970) 403-2458
- NPI assigned
- Nov 3, 2022
- Last updated
- Nov 24, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Damon Bryan, LMFT
- Title
- Therapist and Owner
- Phone
- (970) 403-2458
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
2290 E 4500 S Ste 180
Holladay, UT 84117-4493
Mailing address
2290 E 4500 S Ste 180
Holladay, UT 84117-4493
Phone (970) 403-2458
National Provider Directory
National Provider DirectoryLocations
2290 E 4500 S
Ste 180
Salt Lake City, UT 84117
Phone (385) 285-8350
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Marriage & Family Therapist
- Holladay, UT
- NPI 1609056472
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667433600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1763942400000",
"number": "1417664897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2290 E 4500 S STE 180",
"city": "HOLLADAY",
"state": "UT",
"postal_code": "841174493",
"telephone_number": "970-403-2458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2290 E 4500 S STE 180",
"city": "HOLLADAY",
"state": "UT",
"postal_code": "841174493",
"telephone_number": "970-403-2458"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAGE CANYON COUNSELING, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-03",
"last_updated": "2025-11-24",
"certification_date": "2025-11-24",
"status": "A",
"authorized_official_last_name": "BRYAN",
"authorized_official_first_name": "DAMON",
"authorized_official_title_or_position": "THERAPIST AND OWNER",
"authorized_official_telephone_number": "970-403-2458",
"authorized_official_credential": "LMFT"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Holladay, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.