MEDICARE: MEANDER COUNSELING

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1992657712
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEANDER COUNSELING

Provider Business Mailing Address
First Line	:	4890 S 4380 W
Second Line	:
City	:	KEARNS
State	:	UT
Zip	:	84118-4759
Country	:	US
Telephone Number	:	801-747-9810
Fax Number	:

Provider Business Practice Location Address
First Line	:	715 E 3900 S STE 202
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84107-2557
Country	:	US
Telephone Number	:	801-836-8395
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MS. HOLLY ANN KEPAS
Credential	:	CMHC
Telephone Number	:	801-836-8395

Provider Enumeration Date	:	02/12/2026
Last Update Date	:	05/04/2026

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