Individual provider Active NPI

Amy Feller, CMHC

  • Mental Health Counselor
  • Salt Lake City, UT
National Provider Identifier
1962865121
Registry record updated Sep 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
5086711-6009 Issued in UT
Practice address
275 E South Temple Ste 350
Salt Lake City, UT 84111-1272
Phone
(801) 580-9717
NPI assigned
Apr 4, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 5086711-6009 UT Primary

Addresses

Primary practice location

275 E South Temple Ste 350
Salt Lake City, UT 84111-1272

Mailing address

50 W 400 S
Bountiful, UT 84010-6224
Phone (801) 580-9717

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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

Enrollment IDStateProvider typePAC IDDetails
I20240131002866 UT Practitioner - Mental Health Counselor 1153774609 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
May accept Medicare assignment
Group practices
Lotus Center IncGroup PAC ID 4284923491, 13 clinicians

Practice addresses (Care Compare)

4376 S 700
Suite 200
Salt Lake City, UT 84107-3077
Phone (385) 272-4292

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5086711-6009UTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lotus Center Inc CurrentSince May 18, 2025 Accepting new patients
Lotus Center Inc CurrentSince Jan 18, 2024 Accepting new patients

Locations

4376 S 700 E
Ste 200
Salt Lake City, UT 84107
Phone (385) 272-4292

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1459728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725753600000",
    "number": "1962865121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 W 400 S",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840106224",
            "telephone_number": "801-580-9717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 E SOUTH TEMPLE STE 350",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841111272",
            "telephone_number": "801-580-9717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELLER",
        "first_name": "AMY",
        "credential": "CMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-04",
        "last_updated": "2024-09-08",
        "certification_date": "2024-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "5086711-6009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.