Individual provider Active NPI

Sierra Alexa Montuori, LCMHC, CRC

  • Mental Health Counselor
  • Salt Lake City, UT
National Provider Identifier
1619424686
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
12874500-6004 Issued in UT
Practice address
124 S 400 E Ste 300
Salt Lake City, UT 84111-5307
Phone
(801) 704-5066
NPI assigned
Sep 7, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 12874500-6004 UT Primary

Addresses

Primary practice location

124 S 400 E Ste 300
Salt Lake City, UT 84111-5307

Mailing address

124 S 400 E Ste 300
Salt Lake City, UT 84111-5307

Other identifiers 2

IdentifierTypeStateIssuer
609550002MedicaidMD
609500301MedicaidMD

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
12874500-6004UTMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1619424686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 S 400 E STE 300",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841115307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 S 400 E STE 300",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841115307",
            "telephone_number": "801-704-5066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTUORI",
        "first_name": "SIERRA",
        "middle_name": "ALEXA",
        "credential": "LCMHC, CRC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-07",
        "last_updated": "2024-01-03",
        "certification_date": "2021-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "12874500-6004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "609550002",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "609500301",
            "state": "MD"
        }
    ],
    "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 Jan 3, 2024; 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.