Amber Allsup
Individual provider Active NPI Counselor · Bountiful, UT
NPI 1811247638 · NPPES record last updated Sep 19, 2012
Key facts
- NPI
- 1811247638
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 501 W 2600 S Ste 200
Bountiful, UT 84010-7785 - Phone
- (801) 310-9690
- NPI assigned
- Sep 19, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Youth Health Associates, Inc. | Past | Accepting new patients | |
| Youth Health Associates | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
501 W 2600 S Ste 200
Bountiful, UT 84010-7785
Mailing address
836 N 1375 W
Provo, UT 84604-3049
Other providers in Bountiful, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 19, 2012. 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.