Active NPI
Terri Elise Goldstein, LCMHC
- Mental Health Counselor
- Sandy, UT
National Provider Identifier
1952884066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 10977755-6004
- Practice address
- 9192 S 300 W Ste 23
Sandy, UT 84070-2673 - Phone
- (813) 748-0898
- Fax
- (435) 775-2019
- NPI assigned
- Sep 13, 2018
- Last updated
- Jan 31, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 10977755-6009 | UT | |
| Mental Health Counselor | 101YM0800X | 10977755-6004 | UT | Primary |
Addresses
Primary practice location
9192 S 300 W Ste 23
Sandy, UT 84070-2673
Mailing address
4797 S Huntly Dr
Murray, UT 84107-3780
Phone (813) 748-0898
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10977755-6004 | UT | MD | Mental Health Counselor |
| 10977755-6009 | UT | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Insights Counseling Inc | Mental Health | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643587200000",
"number": "1952884066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4797 S HUNTLY DR",
"city": "MURRAY",
"state": "UT",
"postal_code": "841073780",
"telephone_number": "813-748-0898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9192 S 300 W STE 23",
"city": "SANDY",
"state": "UT",
"postal_code": "840702673",
"telephone_number": "813-748-0898",
"fax_number": "435-775-2019"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDSTEIN",
"first_name": "TERRI",
"middle_name": "ELISE",
"name_prefix": "Mrs.",
"credential": "LCMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-09-13",
"last_updated": "2022-01-31",
"certification_date": "2022-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "UT",
"license": "10977755-6009",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "UT",
"license": "10977755-6004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sandy, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.