Gerald Eldridge Kawika Allen, M.S.
Individual provider Active NPI Professional Counselor · Sandy, UT
NPI 1740242577 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1740242577
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 5055381-6009 (UT)
- Practice address
- 8184 Highland Dr
Sandy, UT 84093-6477 - Phone
- (801) 944-1666
- Fax
- (801) 944-1698
- NPI assigned
- Apr 5, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5055381-6009 | UT | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 5055381-6009 | UT | Yes |
Addresses
Primary practice location
8184 Highland Dr
Sandy, UT 84093-6477
Mailing address
1355 Cedar Crest Dr
Sandy, UT 84092-2923
Phone (801) 733-5190
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000000000 | Medicaid | UT |
Other providers in Sandy, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.