MOUNTAIN MENTAL HEALTH
NPI 1588378442
Nurse Practitioner - Psychiatric/Mental Health in Salt Lake City, UT

Active since January 05, 2023
4516 S 700 E STE 370, SALT LAKE CITY, UT 84107(801) 918-1786(385) 200-0285 Get Directions Write a Review

NPPES record last updated: August 30, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 30, 2023, Aug 22, 2023, May 1, 2023 and 1 more (4 updates tracked since 2023).

About Mountain Mental Health NPPES

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

MOUNTAIN MENTAL HEALTH (NPI 1588378442) is a healthcare organization registered as a psychiatric/mental health in Salt Lake City, Utah and active in the NPI registry since January 2023. The organization lists Shane Emeron Carter, Pmhnp, as its authorized official.

NPPES Registry Identity

NPI1588378442
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameMOUNTAIN MENTAL HEALTH LLC
Location Address4516 S 700 E STE 370Salt Lake City, UT 84107-8317
Mailing Address4516 S 700 E Ste 370Murray, UT 84107-8317 · (801) 918-1786 · Fax (385) 200-0285
Fax(385) 200-0285
Organization SubpartNo
Authorized OfficialShane Emeron CarterPmhnp · (801) 918-1786
Enumeration DateJanuary 5, 2023
Last NPPES UpdateAugust 30, 20234 updates tracked since enumeration
NPPES CertifiedAugust 30, 2023
✔ NPI 1588378442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
4516 S 700 E STE 370, Salt Lake City, UT 84107

Other Names 1

Other NameMountain Mental Health

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

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)

Mountain Mental Health is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Mountain Mental Health, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Nurse Practitioner
NPI 1245955822
4516 S 700 E STE 370
Murray, UT 84107
(435) 776-5909
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1750070546
4516 S 700 E STE 370
Murray, UT 84107
(801) 597-4408
✔ PECOSSame address
Nurse Practitioner
NPI 1316758063
4516 S 700 E STE 370
Murray, UT 84107
(385) 449-9990
✔ PECOSSame address
Nurse Practitioner
NPI 1043948037
4516 S 700 E STE 370
Murray, UT 84107
(385) 449-9990
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1902544299
4516 S 700 E STE 370
Murray, UT 84107
(385) 449-9990
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1154979763
9660 S 1300 E
Sandy, UT 84094
(801) 501-2600
✔ PECOS✔ Accepts Medicare7.0 mi
Nurse Practitioner
NPI 1427539014
270 S MAIN ST STE 104
Bountiful, UT 84010
(801) 683-9340
✔ PECOS✔ Accepts Medicare15 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 Mountain Mental Health LLC's NPI number?

The NPI number for Mountain Mental Health LLC is 1588378442. It was assigned to this organization in the NPPES registry on January 5, 2023. The provider is also known as Mountain Mental Health.

Where is Mountain Mental Health LLC located?

Mountain Mental Health LLC is located at 4516 S 700 E Ste 370, Salt Lake City, UT 84107. The listed phone number is (801) 918-1786.

What is Mountain Mental Health LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Mountain Mental Health LLC enrolled in Medicare?

Yes. Mountain Mental Health LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mountain Mental Health LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Mountain Mental Health LLC. 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. Of these, 5 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Mountain Mental Health LLC accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Mountain Mental Health LLC 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 Mountain Mental Health LLC was last updated on August 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.