Healthcare Provider Details

I. General information

NPI: 1538072566
Provider Name (Legal Business Name): ASHLEE BETH JOHNSON ACMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

240 N EAST PROMONTORY STE 200
FARMINGTON UT
84025-2950
US

IV. Provider business mailing address

1501 S 700 E
KAYSVILLE UT
84037-3000
US

V. Phone/Fax

Practice location:
  • Phone: 801-548-8236
  • Fax:
Mailing address:
  • Phone: 801-548-8236
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: