Individual provider Active NPI

Holly H Lineback, CPCI

  • Mental Health Counselor
  • Sandy, UT
National Provider Identifier
1982663597
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
5072655-6009 Issued in UT
Practice address
8184 Highland Dr
Sandy, UT 84093-6477
Phone
(801) 944-1666
NPI assigned
Mar 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 5072655-6009 UT Primary

Addresses

Primary practice location

8184 Highland Dr
Sandy, UT 84093-6477

Mailing address

2977 S 1400 E
Salt Lake City, UT 84106-3474
Phone (801) 486-4685

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
I20240115001908 UT Practitioner - Mental Health Counselor 5092167080 Practice locations: Salt Lake City, UT

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1415 E 2100
Salt Lake City, UT 84105-3724
Phone (801) 259-7311

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5072655-6009UTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bio Behavioral Interventions PC PastSince Mar 20, 2010 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1982663597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2977 S 1400 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841063474",
            "telephone_number": "801-486-4685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8184 HIGHLAND DR",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840936477",
            "telephone_number": "801-944-1666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINEBACK",
        "first_name": "HOLLY",
        "middle_name": "H",
        "credential": "CPCI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-22",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "5072655-6009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy, UT

Sources for this page

Verify at the official NPI Registry.