EZRA 1ST MEDICAL
NPI 1952240392
Counselor - Mental Health in South Salt Lake, UT

Active since March 27, 2026
2480 S MAIN ST STE 108, SOUTH SALT LAKE, UT 84115(385) 584-7799 Get Directions Write a Review

NPPES record last updated: March 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ezra 1st Medical NPPES

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

EZRA 1ST MEDICAL (NPI 1952240392) is a healthcare organization registered as a mental health in South Salt Lake, Utah and active in the NPI registry since March 2026. The organization lists Ryqail Taylor, Owner, as its authorized official.

NPPES Registry Identity

NPI1952240392
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameEZRA 1ST MEDICAL
Location Address2480 S MAIN ST STE 108South Salt Lake, UT 84115-5002
Mailing Address2480 S Main St Ste 108South Salt Lake, UT 84115-5002
Organization SubpartNo
Authorized OfficialRyqail TaylorOwner · (725) 268-4560
Enumeration DateMarch 27, 2026
NPPES CertifiedMarch 27, 2026
NPI 1952240392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2480 S MAIN ST STE 108, South Salt Lake, UT 84115

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

Other Providers at the Same Location NPPES 4

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

Peer Specialist
2480 S MAIN ST STE 108
SOUTH SALT LAKE, UT 84115
Counselor (Mental Health)
2480 S MAIN ST STE 108
SOUTH SALT LAKE, UT 84115
Clinic/Center (Mental Health (Including Community Mental Health Center))
2480 S MAIN ST STE 108
SOUTH SALT LAKE, UT 84115
Social Worker (Clinical)
2480 S MAIN ST STE 108
SOUTH SALT LAKE, UT 84115

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 Ezra 1st Medical's NPI number?

The NPI number for Ezra 1st Medical is 1952240392. It was assigned to this organization in the NPPES registry on March 27, 2026.

Where is Ezra 1st Medical located?

Ezra 1st Medical is located at 2480 S Main St Ste 108, South Salt Lake, UT 84115. The listed phone number is (385) 584-7799.

What is Ezra 1st Medical's specialty?

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

When was this NPI record last updated?

The NPPES record for Ezra 1st Medical was last updated on March 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.