OrganizationActive
Family Support Center
NPI 1730473786 · Mental Health Counselor · Salt Lake City, UT
Provider details
- NPI number
- 1730473786
- Entity type
- Organization
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Paul Ricks, Clinical Director(801) 955-9110
- License
- 17460 (UT)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
2020 Lake St
Salt Lake City, UT 84105-3119
Phone: (801) 487-7778
Fax: (801) 487-2942
Street-level locationGet directions
Mailing address
1760 W 4805 S
Taylorsville, UT 84118-1177
Registry dates
- Enumerated
- 2011-06-07
- Last updated
- 2011-06-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.