=====================================================
General NPI Number Information
=====================================================
NPI Number | 1457237174
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | AMBER KATHERINE BIELINSKI ACMHC
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/15/2025
-----------------------------------------------------
Last Update Date | 08/15/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5411 S VINE ST # 6
-----------------------------------------------------
City | MURRAY
-----------------------------------------------------
State | UT
-----------------------------------------------------
Zip | 84107-7746
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 801-341-9364
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 7081 S OWLS LN
-----------------------------------------------------
City | MIDVALE
-----------------------------------------------------
State | UT
-----------------------------------------------------
Zip | 84047-1541
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 440-315-8678
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number | 14217015-6009
-----------------------------------------------------
License Number State | UT
-----------------------------------------------------