MR. WADE POULSEN NPI 1427355650

NPI Information

  • NPI: 1427355650
  • Provider Name: MR. WADE POULSEN
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 145 E 1300 S
    SUITE 501
    SALT LAKE CITY, UT
    ZIP 84115
  • Phone: (385) 468-3559

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NPI Details

MR. Wade Poulsen is a mental health counselor in Salt Lake City, UT with 16 years of experience. MR. Wade Poulsen NPI is 1427355650. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

145 E 1300 S
SUITE 501
SALT LAKE CITY, UT
ZIP 84115-482
Phone: (385) 468-3559
Fax: (385) 468-3560

The NPI 1427355650 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 2/24/2011 and was last updated on 7/14/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental Health7966792-6004UTAHYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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