SUPPORT ONE HEALTH SERVICES
NPI 1922643949
Counselor - Mental Health in Bluffdale, UT

Active since November 13, 2019
15041 S GALLANT DR, BLUFFDALE, UT 84065(925) 565-6414 Get Directions Write a Review

NPPES record last updated: November 13, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Support One Health Services NPPES

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

SUPPORT ONE HEALTH SERVICES (NPI 1922643949) is a healthcare organization registered as a mental health in Bluffdale, Utah and active in the NPI registry since November 2019. The organization maintains a secondary practice location in South Jordan and lists Craig Baker, Director, as its authorized official.

NPPES Registry Identity

NPI1922643949
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameSUPPORT ONE HEALTH SERVICES
Location Address15041 S GALLANT DRBluffdale, UT 84065-4987
Mailing Address15041 S Gallant DrBluffdale, UT 84065-4987
Organization SubpartNo
Authorized OfficialCraig BakerDirector · (925) 565-6414
Enumeration DateNovember 13, 2019
✔ NPI 1922643949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
15041 S GALLANT DR, Bluffdale, UT 84065

Secondary Practice Location 1

Location 11206 W South Jordan PkwySouth Jordan, UT 84095-5511 · Phone (925) 565-6414

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)

Support One Health Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Support One Health Services, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Clinical Social Worker
NPI 1831337104
1206 W SOUTH JORDAN PKWY STE D
South Jordan, UT 84095
(801) 302-3801
✔ PECOS✔ Accepts Medicare5.8 mi
Nurse Practitioner
NPI 1982579645
424 E 420 S
Pleasant Grove, UT 84062
(979) 213-2275
✔ PECOS✔ Accepts Medicare12 mi
Marriage and Family Therapist
NPI 1184250300
265 S WOODLAND HILLS DR
Woodland Hills, UT 84653
(925) 565-6414
✔ PECOS✔ Accepts Medicare34 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 Support One Health Services's NPI number?

The NPI number for Support One Health Services is 1922643949. It was assigned to this organization in the NPPES registry on November 13, 2019.

Where is Support One Health Services located?

Support One Health Services is located at 15041 S Gallant Dr, Bluffdale, UT 84065. The listed phone number is (925) 565-6414.

What is Support One Health Services's specialty?

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

Is Support One Health Services enrolled in Medicare?

Yes. Support One Health Services is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Support One Health Services?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Support One Health Services, in Clinical Social Worker, Marriage and Family Therapist and Nurse Practitioner. 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, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Support One Health Services accept?

Health plans from Molina Healthcare list Support One Health Services 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 Support One Health Services was last updated on November 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.