TRUDY LARISSA SAMUELSON CMHC NPI 1528335619

NPI Information

  • NPI: 1528335619
  • Provider Name: TRUDY LARISSA SAMUELSON, CMHC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 650 E 4500 S STE 300
    650 E 4500 S STE 300
    MURRAY, UT
    ZIP 84107
  • Phone: (801) 261-3500

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NPI Details

Trudy Larissa Samuelson, CMHC is a mental health counselor in Murray, UT. Trudy Larissa Samuelson, CMHC NPI is 1528335619. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

650 E 4500 S STE 300
650 E 4500 S STE 300
MURRAY, UT
ZIP 84107-410
Phone: (801) 261-3500
Fax: (385) 500-3690

The enumeration date for this NPI number is 11/17/2011 and was last updated on 4/25/2025.

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 Health51392806004UTAHYes

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

NPI Synchronization or Removal

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