Healthcare Provider Details

I. General information

NPI: 1225968902
Provider Name (Legal Business Name): INNER KOMPIS COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2026
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

53 W 9000 S
SANDY UT
84070-2008
US

IV. Provider business mailing address

53 W 9000 S
SANDY UT
84070-2008
US

V. Phone/Fax

Practice location:
  • Phone: 801-609-1516
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: JASON STEVENS
Title or Position: OWNER
Credential: LCSW
Phone: 801-609-1516