Individual provider Active NPI

Suzan P Denham, CMHC

  • Professional Counselor
  • Sandy, UT
National Provider Identifier
1891289864
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
9296318-6004 Issued in UT
Practice address
740 E 9000 S Ste a
Sandy, UT 84094-3077
Phone
(801) 758-7333
NPI assigned
Jun 21, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 9296318-6004 UT
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 9296318-6004 UT Primary

Addresses

Primary practice location

740 E 9000 S Ste a
Sandy, UT 84094-3077

Mailing address

740 E 9000 S Ste a
Sandy, UT 84094-3077
Phone (801) 758-7333

Other identifiers 1

IdentifierTypeStateIssuer
NAMedicaidUT

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
I20250805001972 UT Practitioner - Mental Health Counselor 3072021500 Practice locations: Sandy, UT

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9296318-6004UTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sage Mountain Counseling CurrentSince Sep 24, 2023 Accepting new patients
Jordan West Family Counseling Inc Multi-Specialty Past Accepting new patients

Locations

740 E 9000 S
Ste A
Sandy, UT 84094
Phone (801) 708-4099

Organizations & group practices 2

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": "1529539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1891289864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 E 9000 S STE A",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840943077",
            "telephone_number": "801-758-7333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 E 9000 S STE A",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840943077",
            "telephone_number": "801-758-7333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENHAM",
        "first_name": "SUZAN",
        "middle_name": "P",
        "credential": "CMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-21",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "9296318-6004",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "UT",
            "license": "9296318-6004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NA",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy, UT

Sources for this page

Verify at the official NPI Registry.