IndividualActive
Corey Markisich, LSAC
NPI 1033438288 · Addiction (Substance Use Disorder) Counselor · Midvale, UT
Provider details
- NPI number
- 1033438288
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- LSAC
- Sex
- Male
- Sole proprietor
- No
- License
- 7220715-6006 (UT)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
7300 S 300 W
Suite 101
Midvale, UT 84047-1962
Phone: (801) 984-1717
Fax: (801) 984-1720
Street-level locationGet directions
Mailing address
2179 N 725 W
West Bountiful, UT 84087-1104
Registry dates
- Enumerated
- 2010-05-27
- Last updated
- 2012-05-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.