Ryan Vanatta, CMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

10835115-6009 Issued in UT

Practice address

415 Medical Dr Ste B101
Bountiful, UT 84010-4989

Phone

(385) 259-2269

NPI assigned

Sep 12, 2020

Sex

Male

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

Practice roles

Locations

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.

• Restore Counseling

  • Adult Mental Health Clinic/Center
  • Bountiful, UT
  • NPI 1255937975
  NPD Authorized official

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

{
    "created_epoch": "1599868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607385600000",
    "number": "1912512351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "858 N LAFAYETTE DR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841162148",
            "telephone_number": "385-259-2269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 MEDICAL DR STE B101",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840104989",
            "telephone_number": "385-259-2269"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5818 S 900 E",
            "address_purpose": "LOCATION",
            "city": "Murray",
            "state": "UT",
            "postal_code": "841211644",
            "country_code": "US",
            "telephone_number": "801-738-7616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANATTA",
        "first_name": "RYAN",
        "credential": "CMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-12",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "10835115-6009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Val Verda Healthcare LLC
• Val Verda Healthcare LLC
• Valdar LLC
• Value Med RX, LLC
• Zoe Van Den Berg
• Emma Vance
• Makenzie Vance
• Derek L Vanhille, MD
• Brynn Vanwagenen
• Jenea Varela

• Mental Health Counselor in Bountiful, UT
• Providers in Bountiful, 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 Dec 8, 2020; 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.