Amy Elizatbeth Abshere
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Sandy, UT
NPI 1831984285 · NPPES record last updated Apr 14, 2025
Key facts
- NPI
- 1831984285
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- CI21790419 (CA)
- Practice address
- 7869 S 700 E
Sandy, UT 84070-0257 - Phone
- (801) 901-0024
- NPI assigned
- Apr 14, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CI21790419 | CA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mat Ventures LLC | Single Specialty | Current |
Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/2587/brand/1/csg/21/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor |
101YA0400X | CI21790419 | CA | Yes |
Addresses
Primary practice location
7869 S 700 E
Sandy, UT 84070-0257
Mailing address
1507 S Overlook LN
Saratoga Springs, UT 84045-6589
Phone (949) 607-9423
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All providers in Sandy, UT · Addiction (Substance Use Disorder) Counselor in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 14, 2025. 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.