Eliza Yvette Slagle, ACMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

13960906-6009 Issued in UT

Practice address

1960 Sidewinder Dr Ste 103
Park City, UT 84060-7361

Phone

(801) 746-4334

NPI assigned

Nov 5, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1730764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1881417111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1960 SIDEWINDER DR STE 103",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840607361",
            "telephone_number": "801-746-4334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1960 SIDEWINDER DR STE 103",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840607361",
            "telephone_number": "801-746-4334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLAGLE",
        "first_name": "ELIZA",
        "middle_name": "YVETTE",
        "credential": "ACMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-05",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "13960906-6009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Silver Creek Counseling LLC
• Silver Creek Speech & Language
• Silver Peak Health LLC
• Beth Silvero, APRN
• Stephanie M Singer, D.O.
• Nicole Small
• Abigail Smalley
• Katherine Elizabeth Smiley
• Tonya Nicole Smiley, PT
• Austin Smith, M.D.

• Mental Health Counselor in Park City, UT
• Providers in Park City, UT by specialty
• Mental Health Counselor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.