Active NPI
Ezra 1St Medical
- Mental Health Counselor
- South Salt Lake, UT
National Provider Identifier
1952240392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- EZRA 1ST MEDICAL
- Practice address
- 2480 S Main St Ste 108
South Salt Lake, UT 84115-5002 - Phone
- (385) 584-7799
- NPI assigned
- Mar 27, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ryqail Taylor
- Title
- Owner
- Phone
- (725) 268-4560
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
2480 S Main St Ste 108
South Salt Lake, UT 84115-5002
Mailing address
2480 S Main St Ste 108
South Salt Lake, UT 84115-5002
National Provider Directory
National Provider DirectoryLocations
2480 S Main St
Ste 108
South Salt Lake, UT 84115
Phone (385) 612-1794
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Behavior Technician
- Taylorsville, UT
- NPI 1235922964
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1774569600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1774569600000",
"number": "1952240392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2480 S MAIN ST STE 108",
"city": "SOUTH SALT LAKE",
"state": "UT",
"postal_code": "841155002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2480 S MAIN ST STE 108",
"city": "SOUTH SALT LAKE",
"state": "UT",
"postal_code": "841155002",
"telephone_number": "385-584-7799"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EZRA 1ST MEDICAL",
"organizational_subpart": "NO",
"enumeration_date": "2026-03-27",
"last_updated": "2026-03-27",
"certification_date": "2026-03-27",
"status": "A",
"authorized_official_last_name": "TAYLOR",
"authorized_official_first_name": "RYQAIL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "725-268-4560"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Salt Lake, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.