Individual provider Active NPI

Tiana Makaiwa Park Louis, LCADC, CPC-INTERN

  • Mental Health Counselor
  • Salt Lake City, UT
National Provider Identifier
1508176769
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
127859346004 Issued in UT
Practice address
3970 S Howick St Unit B135
Salt Lake City, UT 84107-1491
Phone
(702) 271-9458
NPI assigned
Oct 20, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X CI0047 NV
Professional Counselor 101YP2500X 0022392 CO
Mental Health Counselor 101YM0800X 127859346004 UT Primary

Addresses

Primary practice location

3970 S Howick St Unit B135
Salt Lake City, UT 84107-1491

Mailing address

3970 S Howick St Unit B135
Salt Lake City, UT 84107-1491
Phone (702) 271-9458

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20260225002490 NV Practitioner - Mental Health Counselor 9638650872 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7121 W Craig Rd
113 310
Las Vegas, NV 89129-6001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
127859346004UTMDMental Health Counselor
CI0047NVMDProfessional Counselor
0022392COMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Elements of Motivation LLC CurrentSince Feb 11, 2026 Accepting new patients
Claudia Barraza PastSince Feb 11, 2026 Accepting new patients

Locations

720 S Jones Blvd
Las Vegas, NV 89107
Phone (702) 331-4874

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1287532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1508176769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3970 S HOWICK ST UNIT B135",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841071491",
            "telephone_number": "702-271-9458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3970 S HOWICK ST UNIT B135",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841071491",
            "telephone_number": "702-271-9458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOUIS",
        "first_name": "TIANA",
        "middle_name": "MAKAIWA PARK",
        "credential": "LCADC, CPC-INTERN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-20",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NV",
            "license": "CI0047",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "0022392",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "127859346004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.