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 Slc and Utah

7 active clinicians are listed under Peer Specialist with a practice address in Slc, UT (470 in Utah).

Addresses are self-reported to NPPES and may be out of date.

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: 2023-01-18

Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

License # reported to NPPES UT 12894556-3502

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

Career & Practice History Timeline

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

10 Historical Events

📍

Updated Practice Location January 18, 2023

Registered at 1425 S 700 E # 102, SLC, UT 841052125 (Tel: 8016527012)

📍

Updated Business Mailing Address January 18, 2023

Registered at PO BOX 575746, MURRAY, UT 841575746 (Tel: 8016527012)

👤

Provider Name / Credentials Updated January 18, 2023

Recorded as ANGELA STRADER, CSW

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 18, 2023

Counselor

✅

NPI Profile Active June 05, 2018

NPI status registered as active in NPPES database

📍

Practice Location (Initial Record) June 05, 2018

Registered at 934 S MAIN ST, LAYTON, UT 840417135 (Tel: 8017737060)

📍

Business Mailing Address (Initial Record) June 05, 2018

Registered at 934 S MAIN ST, LAYTON, UT 840417135 (Tel: 8017737060)

👤

Provider Name / Credentials (Initial Record) June 05, 2018

Recorded as ANGELA MILLER

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 05, 2018

Peer Specialist

🟢

Initial NPI Registration & Enumeration June 05, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1053803106

Entity Type:

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

Enumeration Date: June 05, 2018

Last Update: January 18, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 575746

Murray, UT 841575746

Phone: 8016527012

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.