Organization Active NPI

Golden Spark Counseling

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Salt Lake City, UT
National Provider Identifier
1801655477
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
GOLDEN SPARK COUNSELING
Practice address
50 W Broadway, Ste 333
PMB 99540
Salt Lake City, UT 84101
Phone
(801) 999-8670
Fax
(385) 900-1700
NPI assigned
Mar 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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

Authorized official

Name
Samantha Golden, LMFT, CMHCNPI 1992217251
Title
Owner
Phone
(385) 469-6273

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

50 W Broadway, Ste 333
PMB 99540
Salt Lake City, UT 84101

Mailing address

50 W Broadway, Ste 333
PMB 99540
Salt Lake City, UT 84101
Phone (801) 999-8670

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1710720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710720000000",
    "number": "1801655477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 W BROADWAY, STE 333",
            "address_2": "PMB 99540",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84101",
            "telephone_number": "801-999-8670",
            "fax_number": "385-900-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 W BROADWAY, STE 333",
            "address_2": "PMB 99540",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84101",
            "telephone_number": "801-999-8670",
            "fax_number": "385-900-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN SPARK COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-18",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-16",
        "status": "A",
        "authorized_official_last_name": "GOLDEN",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "385-469-6273",
        "authorized_official_credential": "LMFT, CMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Mar 18, 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.