Healthcare Provider Details

I. General information

NPI: 1942128707
Provider Name (Legal Business Name): ASHLEY BELEN NIELSON ACMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3098 W EXECUTIVE PKWY STE 300
LEHI UT
84048-4911
US

IV. Provider business mailing address

7410 N COTTAGE LN
EAGLE MOUNTAIN UT
84005-4895
US

V. Phone/Fax

Practice location:
  • Phone: 801-349-2480
  • Fax: 801-363-4885
Mailing address:
  • Phone: 385-225-5812
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number14292543-6009
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: