Active NPI
Amy Olsen Davis, MA
- Mental Health Counselor
- Salt Lake City, UT
National Provider Identifier
1942822770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 9526130-6004
- Practice address
- 1208 E 3300 S
Salt Lake City, UT 84106-2522 - Phone
- (801) 483-1600
- Fax
- (801) 483-1610
- NPI assigned
- May 14, 2020
- Last updated
- May 14, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 9526130-6004 | UT | Primary |
Addresses
Primary practice location
1208 E 3300 S
Salt Lake City, UT 84106-2522
Mailing address
470 Dorthea Way
North Salt Lake, UT 84054-1619
Phone (801) 831-8705
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9526130-6004 | UT | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589414400000",
"number": "1942822770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "470 DORTHEA WAY",
"city": "NORTH SALT LAKE",
"state": "UT",
"postal_code": "840541619",
"telephone_number": "801-831-8705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1208 E 3300 S",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841062522",
"telephone_number": "801-483-1600",
"fax_number": "801-483-1610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "AMY",
"middle_name": "OLSEN",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-14",
"last_updated": "2020-05-14",
"certification_date": "2020-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "UT",
"license": "9526130-6004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.