WASATCH G O D MEDICAL LLC
NPI 1114897345
Counselor - Mental Health in South Salt Lake, UT

Active since November 11, 2025
2480 S MAIN ST STE 108, SOUTH SALT LAKE, UT 84115(385) 612-1794 Get Directions Write a Review

NPPES record last updated: November 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wasatch G O D Medical Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WASATCH G O D MEDICAL LLC (NPI 1114897345) is a healthcare organization registered as a mental health in South Salt Lake, Utah and active in the NPI registry since November 2025. The organization lists Tyree Knight, Manager, as its authorized official.

NPPES Registry Identity

NPI1114897345
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameWASATCH G O D MEDICAL LLC
Location Address2480 S MAIN ST STE 108South Salt Lake, UT 84115-5002
Mailing Address2480 S Main St Ste 108South Salt Lake, UT 84115-5002 · (385) 612-1794
Organization SubpartNo
Authorized OfficialTyree KnightManager · (385) 612-1794
Enumeration DateNovember 11, 2025
NPPES CertifiedNovember 11, 2025
NPI 1114897345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedGeneral PracticeTaxonomy 208D00000X
2480 S MAIN ST STE 108, South Salt Lake, UT 84115

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Peer Specialist
2480 S MAIN ST STE 108
SOUTH SALT LAKE, UT 84115
Clinic/Center (Mental Health (Including Community Mental Health Center))
2480 S MAIN ST STE 108
SOUTH SALT LAKE, UT 84115
Social Worker (Clinical)
2480 S MAIN ST STE 108
SOUTH SALT LAKE, UT 84115
Counselor (Mental Health)
2480 S MAIN ST STE 108
SOUTH SALT LAKE, UT 84115

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 Wasatch G O D Medical LLC's NPI number?

The NPI number for Wasatch G O D Medical LLC is 1114897345. It was assigned to this organization in the NPPES registry on November 11, 2025.

Where is Wasatch G O D Medical LLC located?

Wasatch G O D Medical LLC is located at 2480 S Main St Ste 108, South Salt Lake, UT 84115. The listed phone number is (385) 612-1794.

What is Wasatch G O D Medical LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Wasatch G O D Medical LLC was last updated on November 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.