IndividualActive
Rispah Otieno
NPI 1063012409 · Peer Specialist · Tooele, UT
Provider details
- NPI number
- 1063012409
- Entity type
- Individual
- Primary specialty
- Peer SpecialistOther Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
- Behavior Technician106S00000X
Behavioral Health & Social Service Providers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
100 S 1000 W
Tooele, UT 84074-4010
Phone: (888) 949-4864
Street-level locationGet directions
Mailing address
4460 S Highland Dr
Millcreek, UT 84124-3543
Additional practice locations (1)
- 515 S 700 E Ste 2aSalt Lake City, UT 84102-2855Phone: (801) 935-4946
Registry dates
- Enumerated
- 2020-10-26
- Last updated
- 2022-12-28
- Certified
- 2022-12-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.