MILES CARRAWAY – Counselor, NPI 1306105739

MILES CARRAWAY is a healthcare provider. based in Salt lake city, Utah. specializing in MENTAL HEALTH COUNSELOR. The NPI Number for MILES CARRAWAY is 1306105739

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
MILES CARRAWAY
NPI
1306105739
Phone
(801) 263-7100
Address
5965 S 900 E
Enumeration Date
4 May 2012
Last Update Date
4 May 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8019343373
Graduation Year
2019 (7 years ago)
PAC ID
9931636032
Group Practice PAC ID
0446511927
Professional Enrollment ID
I20250102000246
Address ID
UT840144904CE520XXDRXX501
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience33
Completeness75
Years active:14State licenses:0Digital endpointsOther names

356 MENTAL HEALTH COUNSELOR in UT

Provider Addresses for MILES CARRAWAY

  • 5965 S 900 E

    SALT LAKE CITY, UT 841211720

    Phone: (801) 263-7100

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-01-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250102000246IMental Health CounselorUTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84121)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0446511927View full group profile
NameSpecialtyState
Clinical Social WorkerUT
Mental Health CounselorUT
-UT
Clinical Social WorkerUT
-UT
N E U R O L O G YUT
Clinical Social WorkerUT
Clinical PsychologistUT
Clinical Social WorkerAZ
Clinical Social WorkerUT

Reviews

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Frequently asked questions

Where can patients find MILES CARRAWAY's NPI?
You can confirm MILES CARRAWAY with NPI 1306105739; it appears in the national provider directory.
Is MILES CARRAWAY's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does MILES CARRAWAY list a primary specialty?
If you are matching referrals, note Counselor for MILES CARRAWAY. Clinical services aligned with this taxonomy classification.
What location shows for MILES CARRAWAY?
We surface Salt Lake City, Utah for MILES CARRAWAY based on available NPPES addresses.
Is MILES CARRAWAY a real provider?
This page reflects official NPPES data for NPI 1306105739. Always confirm identity and privileges with the practice and licensing boards.

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