Annelise Allen

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

11336132-6009 Issued in UT

Practice address

4516 S 700 E Ste 170
Murray, UT 84107-8320

Phone

(801) 702-0834

NPI assigned

Jan 12, 2016

Last updated

Jul 16, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Mental Health Counselor

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Confederated Tribes of the Goshute ReservationGroup PAC ID 0042451650, 58 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Confederated Tribes of the Goshute Reservation

  • General Practice Physician
  • Ibapah, UT
  • NPI 1750510277

  TX

  Medicare reassignment Care Compare group NPD
• Annelise Allen Counseling Services PLLC

  • Community/Behavioral Health Agency
  • Murray, UT
  • NPI 1992669196
  NPD Authorized official
• Confederated Tribes of the Goshute Reservation

  dba Sacred Circle Healthcare

  • Clinic/Center
  • Salt Lake City, UT
  • NPI 1992141964
  NPD
• Confederated Tribes of the Goshute Reservation

  • Clinic Pharmacy
  • Salt Lake City, UT
  • NPI 1467811562
  NPD (past)

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

{
    "created_epoch": "1452556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1922464585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4516 S 700 E STE 170",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841078320",
            "telephone_number": "801-702-0834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4516 S 700 E STE 170",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841078320",
            "telephone_number": "801-702-0834"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "660 S 200 E",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841113835",
            "country_code": "US",
            "telephone_number": "801-359-2256",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "ANNELISE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-12",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "11336132-6009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jared Blake Allan, AGACNP
• Jonathan Allan, PA-C
• Spencer Kendall Allan, MSN, APRN, PMHNP
• Allen R Groebs MD PC
• Amy Allen, APRN
• Darin Allen
• Thomas Allen
• Yolanda M Allen, RPH
• Alliance Medical Center LLC
• Samantha Allison, PHD

• Mental Health Counselor in Murray, UT
• Providers in Murray, 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 Jul 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.