Individual provider Active NPI

Samuel John Szykula, CMHC

  • Mental Health Counselor
  • Salt Lake City, UT
National Provider Identifier
1841052024
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
10483069-6004 Issued in UT
Practice address
1208 E 3300 S
Salt Lake City, UT 84106-2522
Phone
(801) 483-1600
Fax
(801) 483-1610
NPI assigned
Jan 24, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 10483069-6004 UT Primary

Addresses

Primary practice location

1208 E 3300 S
Salt Lake City, UT 84106-2522

Mailing address

1208 E 3300 S
Salt Lake City, UT 84106-2522
Phone (801) 815-1526

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260128001806 UT Practitioner - Mental Health Counselor 4688152028 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Acuity Mental Health Services LLCGroup PAC ID 7719401140, 5 clinicians

Practice addresses (Care Compare)

6210 S Lindsay LN
Holladay, UT 84121-1205
Phone (801) 252-5899

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10483069-6004UTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Acuity Mental Health Services LLC CurrentSince Jan 6, 2026 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1706054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1841052024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 E 3300 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841062522",
            "telephone_number": "801-815-1526",
            "fax_number": "801-483-1610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 E 3300 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841062522",
            "telephone_number": "801-483-1600",
            "fax_number": "801-483-1610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZYKULA",
        "first_name": "SAMUEL",
        "middle_name": "JOHN",
        "credential": "CMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-24",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "10483069-6004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.