Active NPI
Ayelet Kol Engelman, LPC
- Professional Counselor
- South Salt Lake, UT
National Provider Identifier
1437458155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 368289-6004
- Practice address
- 177 Price Ave
South Salt Lake, UT 84115-4345 - Phone
- (385) 468-4523
- Fax
- (385) 468-4461
- NPI assigned
- Mar 21, 2011
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 368289-6004 | UT | Primary |
Addresses
Primary practice location
177 Price Ave
South Salt Lake, UT 84115-4345
Mailing address
177 Price Ave
South Salt Lake, UT 84115-4345
Phone (385) 468-4523
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HT002258-001 | Medicaid | UT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 368289-6004 | UT | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300665600000",
"number": "1437458155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "177 PRICE AVE",
"city": "SOUTH SALT LAKE",
"state": "UT",
"postal_code": "841154345",
"telephone_number": "385-468-4523",
"fax_number": "385-468-4461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "177 PRICE AVE",
"city": "SOUTH SALT LAKE",
"state": "UT",
"postal_code": "841154345",
"telephone_number": "385-468-4523",
"fax_number": "385-468-4461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENGELMAN",
"first_name": "AYELET",
"middle_name": "KOL",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-21",
"last_updated": "2011-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "UT",
"license": "368289-6004",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "HT002258-001",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}Other providers in South Salt Lake, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.