Shara F. Preston, CMHC

Individual provider Active NPI Mental Health Counselor · Lehi, UT

NPI 1902013121 · NPPES record last updated Feb 24, 2023

Key facts

NPI
1902013121
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
9229810-6004 (UT)
Practice address
111 E Main St Ste L4
Lehi, UT 84043-2490
Phone
(801) 980-3676
NPI assigned
May 17, 2007
Sex
Female
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

LicenseStateTypeSpecialty
9229810-6004UTMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 9229810-6004 UT Yes

Addresses

Primary practice location

111 E Main St Ste L4
Lehi, UT 84043-2490

Mailing address

111 E Main St Ste L4
Lehi, UT 84043-2490
Phone (801) 980-3676

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 24, 2023.

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677196800000",
    "number": "1902013121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E MAIN ST STE L4",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840432490",
            "telephone_number": "801-980-3676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E MAIN ST STE L4",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840432490",
            "telephone_number": "801-980-3676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESTON",
        "first_name": "SHARA",
        "middle_name": "F.",
        "name_prefix": "Ms.",
        "credential": "CMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "9229810-6004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehi, UT

All providers in Lehi, UT · Mental Health Counselor in Utah

Sources for this page

Verify at the official NPI Registry.