OrganizationActive
Healing Heart Center for Meaningful Change LLC
NPI 1023537420 · Mental Health Counselor · Tooele, UT
Provider details
- NPI number
- 1023537420
- Entity type
- Organization
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Shawna Gillen, Manager(435) 849-0598
- License
- 8161136-6004 (UT)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
300 S Main St Ste 2
Tooele, UT 84074-2784
Phone: (435) 849-0598
Street-level locationGet directions
Mailing address
355 Dimaggio Dr
Tooele, UT 84074-9297
Registry dates
- Enumerated
- 2017-09-18
- Last updated
- 2017-09-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.