Healthcare Provider Details

I. General information

NPI: 1629907159
Provider Name (Legal Business Name): GREYSON SCOTT COOK HUNSAKER ACMHC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

489 W SOUTH JORDAN PKWY
SOUTH JORDAN UT
84095-3979
US

IV. Provider business mailing address

1042 E FORT UNION BLVD # 1029
MIDVALE UT
84047-1800
US

V. Phone/Fax

Practice location:
  • Phone: 385-364-0601
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number14287595-6009
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: