Isaac John Wallin, CMHC
Individual provider Active NPI Mental Health Counselor · Enterprise, UT
NPI 1841177904 · NPPES record last updated Aug 20, 2025
Key facts
- NPI
- 1841177904
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 142205706009 (UT)
- Practice address
- 223 S 200 E
Enterprise, UT 84725 - Phone
- (435) 231-2947
- NPI assigned
- Aug 20, 2025
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|
| 142205706009 | UT | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 142205706009 | UT | Yes |
Addresses
Primary practice location
223 S 200 E
Enterprise, UT 84725
Mailing address
PO Box 625
Enterprise, UT 84725-0625
Phone (435) 231-2947
Other providers in Enterprise, UT
All providers in Enterprise, UT · Mental Health 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 Aug 20, 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.