Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. LISA ANN GUSTAVSON PH.D.
NPI 1639140312
Psychologist - Counseling in Salt Lake City, UT

Active since January 30, 2006
1141 E 3900 S, SUITE A170, SALT LAKE CITY, UT 84124(801) 284-4990 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Lisa Ann Gustavson Ph.d. NPPES

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

DR. LISA ANN GUSTAVSON PH.D. (NPI 1639140312) is an individual counseling provider in Salt Lake City, Utah, licensed in Utah (117014-2501) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1639140312
Entity TypeIndividualFemale
Primary Taxonomy103TC1900X
Provider Legal NameDR. LISA ANN GUSTAVSONCredential: PH.D.
Location Address1141 E 3900 S, SUITE A170Salt Lake City, UT 84124-1215
Mailing Address1141 E 3900 S, Suite A170Salt Lake City, UT 84124-1215 · (801) 284-4990
Sole ProprietorNo
Enumeration DateJanuary 30, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1639140312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · CounselingBehavioral Health & Social Service Providers
Taxonomy Code103TC1900X
License Licensed in UT · 117014-2501
Definition
A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists help people with physical, emotional and mental health issues improve their sense of well-being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms.
1141 E 3900 S, Salt Lake City, UT 84124

Other Providers at the Same Location NPPES 20

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

Social Worker (Clinical)
1141 E 3900 S, STE A170
SALT LAKE CITY, UT 84124
Social Worker (Clinical)
1141 E 3900 S, STE A160
SALT LAKE CITY, UT 84124
Social Worker (Clinical)
1141 E 3900 S, SUITE A-170
SALT LAKE CITY, UT 84124
Social Worker (Clinical)
1141 E 3900 S, A-160
SALT LAKE CITY, UT 84124
Social Worker (Clinical)
1141 E 3900 S, SUITE A-170
SALT LAKE CITY, UT 84124
Social Worker (Clinical)
1141 E 3900 S
SALT LAKE CITY, UT 84124
Psychiatry & Neurology (Psychiatry)
1141 E 3900 S, SUITE A170
SALT LAKE CITY, UT 84124
Specialist/Technologist, Health Information
1141 E 3900 S
SALT LAKE CITY, UT 84124

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 Lisa Gustavson's NPI number?

The NPI number for Lisa Gustavson is 1639140312. It was assigned to this individual provider in the NPPES registry on January 30, 2006.

Where is Lisa Gustavson located?

Lisa Gustavson practices at 1141 E 3900 S Suite A170, Salt Lake City, UT 84124. The listed phone number is (801) 284-4990.

What is Lisa Gustavson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Counseling, with taxonomy code 103TC1900X.

When was this NPI record last updated?

The NPPES record for Lisa Gustavson was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 40 days 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.