Active NPI
Dylan Dusoe
- Counselor
- Sandy, UT
National Provider Identifier
1578404422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 14252696-3502
- Practice address
- 9662 S 700 E
Sandy, UT 84070-3590 - Phone
- (801) 233-8577
- Fax
- (801) 233-8748
- NPI assigned
- Apr 3, 2026
- Last updated
- Apr 3, 2026
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 14252696-3502 | UT | Primary |
Addresses
Primary practice location
9662 S 700 E
Sandy, UT 84070-3590
Mailing address
9662 S 700 E
Sandy, UT 84070-3590
Phone (801) 233-8577
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14252696-3502 | UT | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ad Psychotherapy and Clinical Consulting Inc. | Multi-Specialty | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Sandy, UT
- NPI 1689899171
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1775174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775174400000",
"number": "1578404422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9662 S 700 E",
"city": "SANDY",
"state": "UT",
"postal_code": "840703590",
"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": "9662 S 700 E",
"city": "SANDY",
"state": "UT",
"postal_code": "840703590",
"telephone_number": "801-233-8577",
"fax_number": "801-233-8748"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUSOE",
"first_name": "DYLAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-04-03",
"last_updated": "2026-04-03",
"certification_date": "2026-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "UT",
"license": "14252696-3502",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sandy, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.