The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Sandy and Utah

27 active clinicians are listed under Counselor - Professional with a practice address in Sandy, UT (496 in Utah).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Sandy

0% of these 27 clinicians have the CMS telehealth indicator.

11.1% of these 27 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES UT 4925801-6009

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Utah Division of Professional Licensing.

Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID

876000308007 (UT)

Other Identifier Railroad Medicare

260022408 (UT)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events

📍

Updated Practice Location May 30, 2018

Registered at 10038 S COUNTRYWOOD DR, SANDY, UT 84092 (Tel: 8017833853)

📍

Updated Business Mailing Address May 30, 2018

Registered at 10038 S COUNTRYWOOD DR, SANDY, UT 840923747

👤

Provider Name / Credentials Updated May 30, 2018

Recorded as DAVID WILDE, CMHC

✅

NPI Profile Active July 21, 2010

NPI status registered as active in NPPES database

📍

Practice Location (Initial Record) July 21, 2010

Registered at 237 26TH ST, OGDEN, UT 844013105 (Tel: 8016253700)

📍

Business Mailing Address (Initial Record) July 21, 2010

Registered at 7419 CRESTVIEW CT, COTTONWOOD HEIGHTS, UT 841214826 (Tel: 8018399582)

👤

Provider Name / Credentials (Initial Record) July 21, 2010

Recorded as DAVID WILDE

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 21, 2010

Counselor (license number reported to NPPES: UT 4925801-6009)

🟢

Initial NPI Registration & Enumeration July 21, 2010

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1669785440

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 21, 2010

Last Update: May 30, 2018

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

10038 S Countrywood Dr

Sandy, UT 840923747

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.