PROJECT REALITY – Mental Health Counselor, NPI 1134211626
Mental Health Counselor
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for PROJECT REALITY
5282 S COMMERCE DR
SALT LAKE CITY, UT 841074785
Phone: (385) 881-0170
Fax: (385) 212-3234
Type: Location
667 S 700 E
Salt Lake City, UT 841023441
Phone: (801) 364-8080
Fax: (801) 364-8098
Type: Location
PO BOX 57098
MURRAY, UT 841570098
Phone: (801) 364-8080
Fax: (801) 364-8098
Type: Mailing
150, 700 South, Central Ninth, Salt Lake City, Salt Lake County, Utah, 84111, United States
SALT LAKE CITY, UT 84111
Phone: (801) 364-8080
Fax: (801) 364-8098
Type: Mailing
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: 2023-11-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20050315000564 | O | Clinic/Group Practice | UT | TBD |
| O20231115002254 | O | Opioid Treatment Program (Otp) | UT | TBD |
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.
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 84107)
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