Individual provider Active NPI

Sheri Bowden, ACMHC

  • Mental Health Counselor
  • Millcreek, UT
National Provider Identifier
1780069039
Registry record updated Sep 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
8675602-6009 Issued in UT
Practice address
4578 S Highland Dr Ste 320
Millcreek, UT 84117-4214
Phone
(801) 231-9935
NPI assigned
Jul 29, 2015
Last updated
Sep 22, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 8675602-6009 UT Primary

Addresses

Primary practice location

4578 S Highland Dr Ste 320
Millcreek, UT 84117-4214

Mailing address

3709 E Brockbank Dr
Millcreek, UT 84124-3907
Phone (801) 231-9935

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jun 10, 2024 through Jun 10, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
8675602-6009UTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Shewolfe, LLC CurrentSince Sep 27, 2020 Accepting new patients

Locations

4578 S Highland Dr
Ste 320
Salt Lake City, UT 84117
Phone (801) 505-9137

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1438128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600732800000",
    "number": "1780069039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3709 E BROCKBANK DR",
            "city": "MILLCREEK",
            "state": "UT",
            "postal_code": "841243907",
            "telephone_number": "801-231-9935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4578 S HIGHLAND DR STE 320",
            "city": "MILLCREEK",
            "state": "UT",
            "postal_code": "841174214",
            "telephone_number": "801-231-9935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWDEN",
        "first_name": "SHERI",
        "credential": "ACMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-29",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "8675602-6009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millcreek, UT

Sources for this page

Verify at the official NPI Registry.