Active NPI
Adrianna Melinda Pahulu
- Counselor
- West Valley City, UT
National Provider Identifier
1972017804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 5698 W Glen Eagle Dr
West Valley City, UT 84128-4013 - Phone
- (801) 969-4181
- Fax
- (801) 969-1291
- NPI assigned
- Nov 30, 2017
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
5698 W Glen Eagle Dr
West Valley City, UT 84128-4013
Mailing address
75 E Fort Union Blvd
Midvale, UT 84047-1531
Phone (650) 380-5939
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LDS Family Services | Past | Accepting new patients | |
| Horizon Counseling Services | Past | Accepting new patients | |
| LDS Family Services | Counselor | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Professional Counselor
- Centerville, UT
- NPI 1235864844
-
- Counselor
- West Valley City, UT
- NPI 1548342553
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Renton, WA
- NPI 1073726485
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602547200000",
"number": "1972017804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 E FORT UNION BLVD",
"city": "MIDVALE",
"state": "UT",
"postal_code": "840471531",
"telephone_number": "650-380-5939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5698 W GLEN EAGLE DR",
"city": "WEST VALLEY CITY",
"state": "UT",
"postal_code": "841284013",
"telephone_number": "801-969-4181",
"fax_number": "801-969-1291"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAHULU",
"first_name": "ADRIANNA",
"middle_name": "MELINDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-30",
"last_updated": "2020-10-13",
"certification_date": "2020-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Valley City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.