Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1154787984 Individual Practitioner Male Practitioner

Samuel Runyan

Counselor • Provo, UT

Professional Overview & Biography Verified Profile Summary

Samuel Runyan is a registered healthcare professional specializing in Counselor in Provo, UT. Practice services are available at 900 COLUMBIA LN under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

900 Columbia Ln

Provo, UT 846041320

Telephone 8013754240
Associated Practice Facility / Clinic
🏢 Northstar Youth Academy Llc Facility NPI 1780782508

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Provo, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.0 Yrs
State Avg: 9.9 Yrs
Regional Practice Density
211 Specialists

Practicing in Provo, UT (3535 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Daniel Howell

Counselor

NPI 1003186982
Dan Mayer

Counselor

NPI 1003219502
NPI 1003238361
NPI 1003248766
Haley Allmendinger

Community Health Worker

NPI 1003358813
Ryan White

Counselor

NPI 1023458346

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 08, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location January 08, 2016

Registered at 900 COLUMBIA LN, PROVO, UT 846041320 (Tel: 8013754240)

📍
Updated Business Mailing Address January 08, 2016

Registered at 619 N 500 W, PROVO, UT 846011547 (Tel: 8013754240)

👤
Provider Name / Credentials Updated January 08, 2016

Recorded as SAMUEL RUNYAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 08, 2016

Counselor

🟢
Initial NPI Registration & Enumeration January 08, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1154787984
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 08, 2016
Last Update: January 08, 2016
Sole Proprietor: No

Mailing Address

619 N 500 W

Provo, UT 846011547

Phone: 8013754240

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.