Jeffrey Alvin Lundgren, CMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

11805165-6004 Issued in UT

Practice address

4055 S 700 E Ste 103
Millcreek, UT 84107-2508

Phone

(801) 874-2679

NPI assigned

Jul 8, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jeff Lundgren Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1562544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1437711611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 E 300 N",
            "address_2": "248",
            "city": "LEVAN",
            "state": "UT",
            "postal_code": "84639",
            "telephone_number": "303-810-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4055 S 700 E STE 103",
            "city": "MILLCREEK",
            "state": "UT",
            "postal_code": "841072508",
            "telephone_number": "801-874-2679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNDGREN",
        "first_name": "JEFFREY",
        "middle_name": "ALVIN",
        "credential": "CMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-08",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "11805165-6004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEFF",
            "last_name": "LUNDGREN",
            "credential": "CMHC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Mental Health Counselor in Millcreek, UT
• Providers in Millcreek, UT by specialty
• Mental Health Counselor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.