Sandra Chacon, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

10366619-3501 Issued in UT

Practice address

628 N Pugsley St
Salt Lake City, UT 84103-1329

Phone

(385) 261-2171

Fax

(385) 261-2827

NPI assigned

Aug 11, 2015

Last updated

Apr 10, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Love & Wellness Counseling

  • Adult Mental Health Clinic/Center
  • Salt Lake City, UT
  • NPI 1275140089
  NPD Authorized official

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

{
    "created_epoch": "1439251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775779200000",
    "number": "1821474016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1595 N MANDALAY RD",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841164130",
            "telephone_number": "801-991-0484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 N PUGSLEY ST",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841031329",
            "telephone_number": "385-261-2171",
            "fax_number": "385-261-2827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHACON",
        "first_name": "SANDRA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-11",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "10366619-3501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "876000308007",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angelo Gregory Chachas, MD
• Cynthia Chacon
• Joe Chacon
• Marquita Jessica Chacon
• Melody Chacon
• Tiffani C Chacon
• Ashley Thompson Chadwick
• Barbara Elizabeth Chadwick, M.D.
• Kayla Jean Chadwick
• Hyunseock Chae

• Mental Health Counselor in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Mental Health Counselor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2026; 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.