Active NPI
Lucky Path Therapy
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Millcreek, UT
National Provider Identifier
1861311615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- LUCKY PATH THERAPY
- Practice address
- 4190 S Highland Dr Ste 116
Millcreek, UT 84124-2668 - Phone
- (801) 807-9294
- NPI assigned
- Jul 14, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kelsey Christopulos, LMFT
- Title
- Owner
- Phone
- (801) 807-9294
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
4190 S Highland Dr Ste 116
Millcreek, UT 84124-2668
Mailing address
435 N Bishop PL
Salt Lake City, UT 84103-2179
Phone (801) 807-9294
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Marriage & Family Therapist
- Millcreek, UT
- NPI 1346759230
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1783987200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1783987200000",
"number": "1861311615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "435 N BISHOP PL",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841032179",
"telephone_number": "801-807-9294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4190 S HIGHLAND DR STE 116",
"city": "MILLCREEK",
"state": "UT",
"postal_code": "841242668",
"telephone_number": "801-807-9294"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUCKY PATH THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2026-07-14",
"last_updated": "2026-07-14",
"certification_date": "2026-07-14",
"status": "A",
"authorized_official_last_name": "CHRISTOPULOS",
"authorized_official_first_name": "KELSEY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "801-807-9294",
"authorized_official_credential": "LMFT"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Millcreek, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.