MOUNT OLYMPUS COUNSELING CENTER, INC.
NPI 1053910331
Counselor - Mental Health in Holladay, UT
About Mount Olympus Counseling Center, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MOUNT OLYMPUS COUNSELING CENTER, INC. (NPI 1053910331) is a healthcare organization registered as a mental health in Holladay, Utah and active in the NPI registry since October 2020. The organization lists Kenneth David Roach, Executive Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mount Olympus Counseling Center, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Mount Olympus Counseling Center, Inc., which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mount Olympus Counseling Center, Inc.'s NPI number?
The NPI number for Mount Olympus Counseling Center, Inc. is 1053910331. It was assigned to this organization in the NPPES registry on October 19, 2020.
Where is Mount Olympus Counseling Center, Inc. located?
Mount Olympus Counseling Center, Inc. is located at 4525 S 2300 E Ste 102, Holladay, UT 84117. The listed phone number is (801) 860-7818.
What is Mount Olympus Counseling Center, Inc.'s specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Mount Olympus Counseling Center, Inc. enrolled in Medicare?
Yes. Mount Olympus Counseling Center, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mount Olympus Counseling Center, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Mount Olympus Counseling Center, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Mount Olympus Counseling Center, Inc. accept?
Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Mount Olympus Counseling Center, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Mount Olympus Counseling Center, Inc. was last updated on October 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mount Olympus Counseling Center, Inc. · NPI 1053910331
Mental Health organization in Holladay, Utah. Organization record, active in the CMS NPPES registry since October 19, 2020.
## Identity
- **NPI:** 1053910331 (Entity type: Organization)
- **Enumerated:** October 19, 2020
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Organization subpart:** No
- **Authorized official:** Kenneth Roach, EXECUTIVE DIRECTOR
## Practice location
- **Address:** 4525 S 2300 E STE 102, Holladay, UT 84117-4682
- **Phone:** (801) 860-7818
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Mental Health Counselor) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 19, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1053910331) · Data from the CMS NPPES public registry.