Taira De Sutter
Individual provider Active NPI Counselor · Herriman, UT
NPI 1831027010 · NPPES record last updated May 11, 2026
Key facts
- NPI
- 1831027010
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 6356 W Rose Run Way
Herriman, UT 84096-3906 - Phone
- (385) 468-4487
- NPI assigned
- May 11, 2026
- Sex
- Female
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor |
101Y00000X | UT | Yes |
Addresses
Primary practice location
6356 W Rose Run Way
Herriman, UT 84096-3906
Mailing address
6356 W Rose Run Way
Herriman, UT 84096-3906
Phone (385) 468-4487
Other providers in Herriman, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 11, 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.