Individual provider Active NPI

Edward Douglas Vaka'Uta, LCSW

  • Mental Health Counselor
  • South Jordan, UT
National Provider Identifier
1578780441
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
5138304-3501 Issued in UT
Practice address
10421 S Jordan Gtwy Ste 600
South Jordan, UT 84095-3902
Phone
(801) 916-5132
NPI assigned
Apr 19, 2007
Last updated
Jul 6, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 5138304-3501 UT Primary
Clinical Social Worker 1041C0700X 5138304-3501 UT

Addresses

Primary practice location

10421 S Jordan Gtwy Ste 600
South Jordan, UT 84095-3902

Mailing address

10421 S Jordan Gtwy Ste 600
South Jordan, UT 84095-3902
Phone (801) 916-5132

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

LicenseStateTypeSpecialty
5138304-3501UTMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1578780441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10421 S JORDAN GTWY STE 600",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840953902",
            "telephone_number": "801-916-5132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10421 S JORDAN GTWY STE 600",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840953902",
            "telephone_number": "801-916-5132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAKA'UTA",
        "first_name": "EDWARD",
        "middle_name": "DOUGLAS",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-19",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "5138304-3501",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "5138304-3501",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Jordan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.

Verify at the official NPI Registry.