Healthcare Provider Details

I. General information

NPI: 1992657712
Provider Name (Legal Business Name): MEANDER COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2026
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

715 E 3900 S STE 202
SALT LAKE CITY UT
84107-2557
US

IV. Provider business mailing address

4890 S 4380 W
KEARNS UT
84118-4759
US

V. Phone/Fax

Practice location:
  • Phone: 801-836-8395
  • Fax:
Mailing address:
  • Phone: 801-747-9810
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MS. HOLLY ANN KEPAS
Title or Position: CEO
Credential: CMHC
Phone: 801-836-8395