Active NPI
Tava Clinical Services, P.a.
- Clinical Social Worker
- Salt Lake City, UT
National Provider Identifier
1558071027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- TAVA CLINICAL SERVICES, P.A.
- Practice address
- 222 E 7TH Ave
Salt Lake City, UT 84103-2518 - Phone
- (385) 406-2867
- Fax
- (801) 992-8269
- NPI assigned
- Nov 25, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dallen Allred
- Title
- Ceo
- Phone
- (801) 319-6471
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | |||
| Clinical Psychologist | 103TC0700X | |||
| Clinical Social Worker | 1041C0700X | Primary | ||
| Marriage & Family Therapist | 106H00000X | |||
| Psychiatry Physician | 2084P0800X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X |
Addresses
Primary practice location
222 E 7TH Ave
Salt Lake City, UT 84103-2518
Mailing address
PO Box 581406
Salt Lake City, UT 84158-1406
Phone (385) 406-2867
National Provider Directory
National Provider Directory- Tax ID family
- Tava Clinical Services PA
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Social Worker
- Columbia, SC
- NPI 1598600769
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Greeneville, TN
- NPI 1417517897
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669334400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1774569600000",
"number": "1558071027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 581406",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841581406",
"telephone_number": "385-406-2867",
"fax_number": "801-992-8269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 E 7TH AVE",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841032518",
"telephone_number": "385-406-2867",
"fax_number": "801-992-8269"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TAVA CLINICAL SERVICES, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-25",
"last_updated": "2026-03-27",
"certification_date": "2026-03-27",
"status": "A",
"authorized_official_last_name": "ALLRED",
"authorized_official_first_name": "DALLEN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "801-319-6471"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"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 Mar 27, 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.