Richard Andelin, LCMHC
Individual provider Active NPI Mental Health Counselor · Bountiful, UT
NPI 1790372159 · NPPES record last updated Aug 19, 2026
Key facts
- NPI
- 1790372159
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 72301116004 (UT)
- Practice address
- 106 W 500 S Ste 104
Bountiful, UT 84010-6203 - Phone
- (801) 930-0320
- NPI assigned
- Dec 30, 2020
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 72301116004 | UT | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 72301116004 | UT | Yes |
Addresses
Primary practice location
106 W 500 S Ste 104
Bountiful, UT 84010-6203
Mailing address
106 W 500 S Ste 2
Bountiful, UT 84010-6203
Phone (801) 930-0320
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- Amber Allsup
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- Ambulatory Anesthesiologists LLC
- Jodi Andersen
- Alyssa Anderson
- Brooke Anderson
- Carey Marie Anderson
- Holly Marie Anderson
All providers in Bountiful, UT · Mental Health Counselor in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 19, 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.