Individual provider Active NPI

Rebecca Backman

  • Mental Health Counselor
  • Salt Lake City, UT
National Provider Identifier
1801293030
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
10846080-6009 Issued in UT
Practice address
370 E South Temple Ste 550
Salt Lake City, UT 84111-1237
Phone
(385) 313-0547
NPI assigned
Dec 3, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 10846080-6009 UT Primary
Rehabilitation Practitioner 225400000X

Addresses

Primary practice location

370 E South Temple Ste 550
Salt Lake City, UT 84111-1237

Mailing address

S1222 Mathison LN
Westby, WI 54667-7266
Phone (385) 313-0547

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
10846080-6009UTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Western Wellness LLC CurrentSince Dec 1, 2022 Accepting new patients
Mountain Valley Counseling, LLC Mental Health PastSince Sep 1, 2020 Accepting new patients

Locations

4766 S Holladay Blvd
Salt Lake City, UT 84117
Phone (480) 216-0071

370 E South Temple
Ste 550
Slc, UT 84111
Phone (385) 212-4195

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": "1417564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1801293030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "S1222 MATHISON LN",
            "city": "WESTBY",
            "state": "WI",
            "postal_code": "546677266",
            "telephone_number": "385-313-0547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 E SOUTH TEMPLE STE 550",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841111237",
            "telephone_number": "385-313-0547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACKMAN",
        "first_name": "REBECCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-03",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "10846080-6009",
            "primary": true
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; 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.