Individual provider Active NPI

Samantha L Golden, LMFT, CMHC

  • Marriage & Family Therapist
  • Murray, UT
National Provider Identifier
1992217251
Registry record updated Jul 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
11862129-3902 Issued in UT
Practice address
5814 S 900 E
Murray, UT 84121-1644
Phone
(385) 800-3272
Fax
(385) 800-3260
NPI assigned
Oct 26, 2017
Last updated
Jul 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2023

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 11862129-6004 UT
Professional Counselor 101YP2500X E.2001656 OH
Professional Counselor 101YP2500X 268693 KY
Marriage & Family Therapist 106H00000X M.1700051 OH
Marriage & Family Therapist 106H00000X F.2000150 OH
Marriage & Family Therapist 106H00000X 11862129-3902 UT Primary

Addresses

Primary practice location

5814 S 900 E
Murray, UT 84121-1644

Mailing address

5814 S 900 E
Murray, UT 84121-1644
Phone (385) 800-3272

Other identifiers 2

IdentifierTypeStateIssuer
0252626MedicaidOH
1992217251MedicaidUT

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

LicenseStateTypeSpecialty
11862129-6004UTMDMental Health Counselor
268693KYMDProfessional Counselor
E.2001656OHMDProfessional Counselor
F.2000150OHMDMarriage & Family Therapist
M.1700051OHMDMarriage & Family Therapist
11862129-3902UTMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Spark Counseling Current Accepting new patients
Integrative Counseling Solutions, LLC Professional PastSince Sep 27, 2021 Accepting new patients

Locations

50 W Broadway
Ste 333
Salt Lake Cty, UT 84101
Phone (321) 458-5663

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, 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": "1508976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689465600000",
    "number": "1992217251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5814 S 900 E",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841211644",
            "telephone_number": "385-800-3272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5814 S 900 E",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841211644",
            "telephone_number": "385-800-3272",
            "fax_number": "385-800-3260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDEN",
        "first_name": "SAMANTHA",
        "middle_name": "L",
        "credential": "LMFT, CMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-26",
        "last_updated": "2023-07-16",
        "certification_date": "2023-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "11862129-6004",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.2001656",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "268693",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OH",
            "license": "M.1700051",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OH",
            "license": "F.2000150",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "UT",
            "license": "11862129-3902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0252626",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1992217251",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2023; 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.