Active NPI
Mary Johnston
- Peer Specialist
- Salt Lake City, UT
National Provider Identifier
1528680402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- F25-127874
- Practice address
- 68 S 600 E
Salt Lake City, UT 84102-1007 - Phone
- (801) 428-3243
- NPI assigned
- May 13, 2020
- 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 |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | F25-127874 | UT | Primary |
Addresses
Primary practice location
68 S 600 E
Salt Lake City, UT 84102-1007
Mailing address
117 W 400 S
Salt Lake City, UT 84101-1916
Phone (385) 200-0110
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786579200000",
"number": "1528680402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 W 400 S",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841011916",
"telephone_number": "385-200-0110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "68 S 600 E",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841021007",
"telephone_number": "801-428-3243"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSTON",
"first_name": "MARY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-13",
"last_updated": "2026-08-13",
"certification_date": "2026-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "UT",
"license": "F25-127874",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.