Individual provider Active NPI

Daine Barlow

  • Mental Health Counselor
  • Taylorsville, UT
National Provider Identifier
1629681572
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
14017207-6004 Issued in UT
Practice address
3809 W 6200 S
Taylorsville, UT 84129-3725
Phone
(888) 949-4864
NPI assigned
Aug 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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 MH19582 FL
Mental Health Counselor 101YM0800X 14017207-6004 UT Primary

Addresses

Primary practice location

3809 W 6200 S
Taylorsville, UT 84129-3725

Mailing address

3725 W 4100 S Ste 201
West Valley City, UT 84120-5411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, UT, GA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20241107000287 FL Practitioner - Mental Health Counselor 4385178847 Reassigns benefits to 1 organization
I20241121003862 UT Practitioner - Mental Health Counselor 4385178847 Reassigns benefits to 1 organization
I20241217002927 GA Practitioner - Mental Health Counselor 4385178847 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3809 W 6200
Salt Lake City, UT 84129-3725
Phone (801) 963-4200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH19582FLMDMental Health Counselor
14017207-6004UTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Barlow & Company Mental Health Current Accepting new patients
Valley Mental Health Incorporated Current Accepting new patients
Sondermind Provider Network LLC CurrentSince Nov 4, 2024 Accepting new patients
Valley Behavioral Health Incorporated CurrentSince Nov 8, 2024 Accepting new patients

Locations

333 SE 2nd Ave
Ste 2000
Miami, FL 33131
Phone (201) 581-3411

3348 Peachtree Rd NE
Ste 700
Atlanta, GA 30326
Phone (720) 712-7900

6975 S Union Park Ctr
Ste 600
Midvale, UT 84047
Phone (385) 255-7859

4460 S Highland Dr
Ste 230
Slc, UT 84124
Phone (801) 263-7227

3809 W 6200 S
Taylorsville, UT 84129
Phone (801) 963-4200

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1629681572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3725 W 4100 S STE 201",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841205411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3809 W 6200 S",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841293725",
            "telephone_number": "888-949-4864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARLOW",
        "first_name": "DAINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-28",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH19582",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "14017207-6004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylorsville, UT

Sources for this page

Verify at the official NPI Registry.