NPI 1194198010 · live from the CMS NPI Registry
Amethyst Center For Healing INC
Counselor, Mental Health in Salt Lake City, UT. National Provider Identifier 1194198010, active.
NPI record
| NPI | 1194198010 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Counselor, Mental Health 101YM0800X |
| Practice location | 124 S 400 E Ste 300, Salt Lake City, UT 84111 |
| Practice phone | 801-467-2863 |
| Mailing address | Po Box 526391, Salt Lake City, UT 84152 |
| Enumerated | November 2, 2015 |
| Last updated | October 22, 2026 |
| Authorized official | Jana Fulmer, Co-Founder/Co-Director |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Mental Health primary | 101YM0800X | — |
| Social Worker, Clinical | 1041C0700X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.