Individual provider Active NPI

Deborah L Olmos, ACMHC

  • Mental Health Counselor
  • Clearfield, UT
National Provider Identifier
1730751116
Registry record updated Jun 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
12882191-6009 Issued in UT
Practice address
49 E 200 S
Clearfield, UT 84015-1047
Phone
(801) 779-0095
Fax
(801) 779-0255
NPI assigned
Jul 14, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Mental Health Counselor 101YM0800X 12882191-6009 UT Primary

Addresses

Primary practice location

49 E 200 S
Clearfield, UT 84015-1047

Mailing address

49 E 200 S
Clearfield, UT 84015-1047
Phone (801) 779-0095

Other practice location 1

209 E Gordon Ave
Layton, UT 84041-2341
Phone (801) 200-1444

Other practice location 2

1438 N Highway 89 Ste 130
Farmington, UT 84025-2737
Phone (801) 200-1444

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
12882191-6009UTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Catalyst Behavior Solutions Mental Health Past Accepting new patients
Northern Utah Counseling LLC Mental Health PastSince Jun 12, 2022 Accepting new patients

Organizations & group practices 2

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": "1626220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1730751116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 E 200 S",
            "city": "CLEARFIELD",
            "state": "UT",
            "postal_code": "840151047",
            "telephone_number": "801-779-0095",
            "fax_number": "801-779-0255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 E 200 S",
            "city": "CLEARFIELD",
            "state": "UT",
            "postal_code": "840151047",
            "telephone_number": "801-779-0095",
            "fax_number": "801-779-0255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "209 E Gordon Ave",
            "address_purpose": "LOCATION",
            "city": "Layton",
            "state": "UT",
            "postal_code": "840412341",
            "country_code": "US",
            "telephone_number": "801-200-1444",
            "fax_number": "801-513-5608",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1438 N Highway 89 Ste 130",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "UT",
            "postal_code": "840252737",
            "country_code": "US",
            "telephone_number": "801-200-1444",
            "fax_number": "801-513-5608",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLMOS",
        "first_name": "DEBORAH",
        "middle_name": "L",
        "credential": "ACMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-14",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "12882191-6009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearfield, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; 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.