Organization Active NPI

Ezra 1St Medical

  • Mental Health Counselor
  • South Salt Lake, UT
National Provider Identifier
1952240392
Registry record updated Mar 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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

Updated by the provider on Mar 27, 2026

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

Authorized official

Name
Ryqail TaylorNPI 1235922964
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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.