Dave Ottesen, CMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

11976904-6009 Issued in UT

Practice address

11260 S River Heights Dr
South Jordan, UT 84095-5119

Phone

(801) 298-2000

NPI assigned

Feb 24, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Utah Autism Academy

  • Developmentally Disabled Services Day Training Agency
  • Midvale, UT
  • NPI 1972934537
  NPD (past)

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

{
    "created_epoch": "1487894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677024000000",
    "number": "1699215681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11260 S RIVER HEIGHTS DR",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840955119",
            "telephone_number": "385-308-8403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11260 S RIVER HEIGHTS DR",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840955119",
            "telephone_number": "801-298-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTTESEN",
        "first_name": "DAVE",
        "credential": "CMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-24",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "11976904-6009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Michael Orr, DPT, OSC, CSCS
• Orthodontic Center
• Andrew Orton
• Peter G Osborn, MS, MA
• Jayde Ostler
• Yun Jou Ou Yang, PHARMD
• Our House of South Jordan
• Out of This World Dentistry SJ PC
• Barbara Joelle Overby, DMSC, PA-C
• Patience Owan

• Mental Health Counselor in South Jordan, UT
• Providers in South Jordan, UT by specialty
• Mental Health Counselor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; 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.