Active NPI
Sally Marelius
- Counselor
- Magna, UT
National Provider Identifier
1740517317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 355309-6004
- Practice address
- 2915 Patricia Cir
Magna, UT 84044-1375 - Phone
- (801) 651-2828
- NPI assigned
- Nov 3, 2009
- Last updated
- Aug 9, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 355309-6004 | UT | Primary |
Addresses
Primary practice location
2915 Patricia Cir
Magna, UT 84044-1375
Mailing address
2915 Patricia Cir
Magna, UT 84044-1375
Phone (801) 651-2828
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
| License | State | Type | Specialty |
|---|---|---|---|
| 355309-6004 | UT | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344470400000",
"number": "1740517317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2915 PATRICIA CIR",
"city": "MAGNA",
"state": "UT",
"postal_code": "840441375",
"telephone_number": "801-651-2828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2915 PATRICIA CIR",
"city": "MAGNA",
"state": "UT",
"postal_code": "840441375",
"telephone_number": "801-651-2828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARELIUS",
"first_name": "SALLY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-11-03",
"last_updated": "2012-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "UT",
"license": "355309-6004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Magna, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.