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Renee Wallace , CSW

Counselor • Sandy, UT

Active NPI 1487584595 Individual Practitioner Female Practitioner
Practice location in NPPES

9844 S 1300 E
Sandy, UT 840944673

Call 8018105037 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

9844 S 1300 E

Sandy, UT 840944673

Telephone 8018105037
Organization at the Same NPPES Address or Phone
Wasatch Imaging Llc Facility NPI 1679645139

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2026

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: NPI first issued

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

14 active clinicians are listed under Counselor with a practice address in Sandy, UT (3,470 in Utah).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Sandy

0% of these 14 clinicians have the CMS telehealth indicator.

7.1% of these 14 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

Self-certified to NPPES: 2026-05-20
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

License # reported to NPPES UT 14028854-3502

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

14 listed
NPI 1144367772

Doctor of Medicine (M.D.)

Bryan Clark , PA-C

Physician Assistant - Surgical

NPI 1093777047

Physician Assistant (Certified)

Dr. Thomas Dietz , MD

Internal Medicine

NPI 1225142334

Doctor of Medicine (M.D.)

Dr. Anthony Gordon , MD

Orthopaedic Surgery

NPI 1811983380

Doctor of Medicine (M.D.)

Dr. Grant Hawkins , MD

Internal Medicine

NPI 1255341806

Doctor of Medicine (M.D.)

Stanford Hirai

Physical Therapist

NPI 1972580074

Career & Practice History

NPI enumerated May 20, 2026.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from June 2026 to August 2026.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1487584595
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 20, 2026
Last Update: May 20, 2026
Sole Proprietor: No

Mailing Address

747 E Village Way

Sandy, UT 840941860

Phone: 2082011174

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.