Active NPI
Danielle Fast, CMHC
- Professional Counselor
- Salt Lake City, UT
National Provider Identifier
1871807891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 7608102-6004
- Practice address
- 4578 S Highland Dr Ste 320
Salt Lake City, UT 84117-4214 - Phone
- (801) 505-9137
- NPI assigned
- Aug 2, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 7608102-6004 | UT | Primary |
Addresses
Primary practice location
4578 S Highland Dr Ste 320
Salt Lake City, UT 84117-4214
Mailing address
4578 S Highland Dr Ste 320
Salt Lake City, UT 84117-4214
Phone (801) 694-3565
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7608102-6004 | UT | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Milestones Integrative Healing | Past | 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.
-
- Mental Health Counselor
- Salt Lake City, UT
- NPI 1205390259
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548288000000",
"number": "1871807891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4578 S HIGHLAND DR STE 320",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841174214",
"telephone_number": "801-694-3565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4578 S HIGHLAND DR STE 320",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841174214",
"telephone_number": "801-505-9137"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAST",
"first_name": "DANIELLE",
"name_prefix": "Miss",
"credential": "CMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-02",
"last_updated": "2019-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "UT",
"license": "7608102-6004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.