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MR. WADE POULSEN
NPI 1427355650
Counselor - Mental Health in Salt Lake City, UT

Active since February 24, 2011PECOS EnrolledAccepts Medicare Assignment
145 E 1300 S, SUITE 501, SALT LAKE CITY, UT 84115(385) 468-3559(385) 468-3560 Get Directions Write a Review

NPPES record last updated: July 14, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mr. Wade Poulsen NPPES

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

MR. WADE POULSEN (NPI 1427355650) is an individual mental health provider in Salt Lake City, Utah, licensed in Utah (7966792-6004) and active in the NPI registry since February 2011. He is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1427355650
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. WADE POULSEN
Location Address145 E 1300 S, SUITE 501Salt Lake City, UT 84115-5482
Mailing Address145 E 1300 S, Suite 501Salt Lake City, UT 84115-5482 · (385) 468-3559 · Fax (385) 468-3560
Phone(385) 468-3559
Fax(385) 468-3560
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateFebruary 24, 2011
Last NPPES UpdateJuly 14, 2014
✔ NPI 1427355650 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 · 7966792-6004
145 E 1300 S, Salt Lake City, UT 84115
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Wade Poulsen is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8022458967
PECOS Enrollment IDI20240425003020
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Wade Poulsen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Bear River Mental Health Services Inc
77 mi
Mental Health
90 E 200 N
Logan, UT 84321
  • Reassigned Medicare billing, Utah enrollment
  • 45 clinicians in this Medicare group
NPI 1285736553 (435) 752-0750

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 11

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

SALT LAKE COUNTY CRIMINAL JUSTICE SERVICES
Social Worker (Clinical)
145 E 1300 S, SUITE #501
SALT LAKE CITY, UT 84115
Salt Lake County (385) 468-3559
MS. ROBERTA CAROL ERWIN LCSW
Social Worker (Clinical)
145 E 1300 S, SUITE #501
SALT LAKE CITY, UT 84115
Salt Lake County (385) 468-3523
MR. DOUGLAS EDWARD WILLIAMS LCSW
Social Worker (Clinical)
145 E 1300 S, SUITE 501
SALT LAKE CITY, UT 84115
Salt Lake County (385) 468-3460
MS. LESLIE KOMATSU LCSW
Social Worker (Clinical)
145 E 1300 S, SUITE 501
SALT LAKE CITY, UT 84115
Salt Lake County (385) 468-3495
MS. BRENDA THERESE LAMM CMHC
Counselor (Mental Health)
145 E 1300 S, SUITE 501
SALT LAKE CITY, UT 84115
Salt Lake County (385) 468-3441
MS. LISA NELSON LCSW
Social Worker (Clinical)
145 E 1300 S, SUITE 501
SALT LAKE CITY, UT 84115
Salt Lake County (385) 468-3498
MR. CRIS J LOWE LMHC
Counselor (Mental Health)
145 E 1300 S, SUITE 501
SALT LAKE CITY, UT 84115
Salt Lake County (385) 468-3451
MISS AIMEE DASSELE MS, LAC
Counselor (Professional)
145 E 1300 S, SUITE 107
SALT LAKE CITY, UT 84115
Salt Lake County (801) 783-1950

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 Wade Poulsen's NPI number?

The NPI number for Wade Poulsen is 1427355650. It was assigned to this individual provider in the NPPES registry on February 24, 2011.

Where is Wade Poulsen located?

Wade Poulsen practices at 145 E 1300 S Suite 501, Salt Lake City, UT 84115. The listed phone number is (385) 468-3559.

What is Wade Poulsen's specialty?

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

Is Wade Poulsen enrolled in Medicare?

Yes. Wade Poulsen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Wade Poulsen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Wade Poulsen reassigns Medicare benefits to Bear River Mental Health Services Inc (Logan, UT). The 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 Wade Poulsen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Wade Poulsen was last updated on July 14, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.