SANCTUARY FOR HEALING & INTEGRATION PLLC
NPI 1417218371
Counselor - Mental Health in Salt Lake City, UT

Q: What is Sanctuary For Healing & Integration PLLC's specialty?

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

Active since June 06, 2012

860 E 4500 S STE 302, SALT LAKE CITY, UT 84107(801) 268-0333(801) 268-3777 Get Directions Write a Review

NPPES record last updated: June 6, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Sanctuary For Healing & Integration Pllc NPPES

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

SANCTUARY FOR HEALING & INTEGRATION PLLC (NPI 1417218371) is a healthcare organization registered as a mental health in Salt Lake City, Utah and active in the NPI registry since June 2012. The organization lists Carmela J Javellana, Owner, as its authorized official.

NPPES Registry Identity

NPI1417218371

Entity TypeOrganization

Primary Taxonomy101YM0800X

Legal Business NameSANCTUARY FOR HEALING & INTEGRATION PLLC

Location Address860 E 4500 S STE 302Salt Lake City, UT 84107-3018

Mailing Address860 E 4500 S Ste 302Salt Lake City, UT 84107-3018 · (801) 268-0333 · Fax (801) 268-3777

Phone(801) 268-0333

Fax(801) 268-3777

Organization SubpartNo

Authorized OfficialCarmela J JavellanaOwner · (801) 268-0333

Enumeration DateJune 6, 2012

✔ NPI 1417218371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in UT · 280094-1205

860 E 4500 S STE 302, Salt Lake City, UT 84107

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Other Identifiers 1

Medicare UPIN000012280UT

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah.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)

Sanctuary For Healing & Integration Pllc 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 Sanctuary For Healing & Integration PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Carmela Javellana, MD

Psychiatry

NPI 1215031778

13 W 3100 S
Bountiful, UT 84010

(801) 268-0333

✔ PECOS✔ Accepts Medicare14 mi

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 Sanctuary For Healing & Integration PLLC's NPI number?

The NPI number for Sanctuary For Healing & Integration PLLC is 1417218371. It was assigned to this organization in the NPPES registry on June 6, 2012.

Where is Sanctuary For Healing & Integration PLLC located?

Sanctuary For Healing & Integration PLLC is located at 860 E 4500 S Ste 302, Salt Lake City, UT 84107. The listed phone number is (801) 268-0333.

What is Sanctuary For Healing & Integration PLLC's specialty?

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

Is Sanctuary For Healing & Integration PLLC enrolled in Medicare?

Yes. Sanctuary For Healing & Integration PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sanctuary For Healing & Integration PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Psychiatry) reassigns their Medicare billing to Sanctuary For Healing & Integration PLLC. 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 Sanctuary For Healing & Integration PLLC accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Utah list Sanctuary For Healing & Integration PLLC 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 Sanctuary For Healing & Integration PLLC was last updated on June 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.