Michael E Dusoe, PHD, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

138673-3501 Issued in UT

Practice address

8465 S 700 E
Sandy, UT 84070-0501

Phone

(801) 233-8577

Fax

(801) 233-8748

NPI assigned

Aug 31, 2006

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

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

• Ad Psychotherapy and Clinical Consulting Inc.

  • Community/Behavioral Health Agency
  • Sandy, UT
  • NPI 1689899171
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1477664670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8465 S 700 E",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840700501",
            "telephone_number": "801-233-8577",
            "fax_number": "801-233-8748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8465 S 700 E",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840700501",
            "telephone_number": "801-233-8577",
            "fax_number": "801-233-8748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUSOE",
        "first_name": "MICHAEL",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "PHD, LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "138673-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roger Charles Dunham, MD
• Rachel Anne Dunlop, APRN
• Stephanie Lee Dupree, ANP-C, PMHNP-BC
• Duramed, LC
• Dylan Dusoe
• Tammie Lue Dusoe, ASUDC
• Dvora Healthcare LLC
• Michelle Cropper Dye, MFT-I
• Kerianne Dyer, LCSW
• E-Counseling Essentials, LLC

• Mental Health Counselor in Sandy, UT
• Providers in Sandy, 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 Jul 9, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.