Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1598115669 Individual Practitioner Male Practitioner

Tyler Stark , LCMHC

Counselor - Professional • Sandy, UT

Professional Overview & Biography Verified Profile Summary

Tyler Stark, LCMHC is a registered healthcare professional specializing in Counselor - Professional in Sandy, UT. Practice services are available at 11075 S STATE ST STE 16 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

11075 S State St Ste 16

Sandy, UT 840705196

Telephone 8019480939
Associated Practice Facility / Clinic
🏢 Synergism Counseling, Llc Facility NPI 1124313481

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Sandy, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.7 Yrs
State Avg: 18.5 Yrs
Regional Practice Density
29 Specialists

Practicing in Sandy, UT (520 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 - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License UT 8598755-6004

Definition to come...

Practice Associates & Co-Workers

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

7 Associated Practitioners
NPI 1295807105

Doctor of Psychology (Psy.D.)

Sara Callister , LCSW

Social Worker - Clinical

NPI 1356177968

Licensed Clinical Social Worker

Jennifer Vanengelenhoven , LMFT

Marriage & Family Therapist

NPI 1356709968

Licensed Marriage and Family Therapist

Michelle Greene , LCSW

Social Worker - Clinical

NPI 1508971276

Licensed Clinical Social Worker

David Steed , LCSW

Social Worker - Clinical

NPI 1841313434

Licensed Clinical Social Worker

Holly Stone , CSW

Social Worker - Clinical

NPI 1912476995

Clinical Social Worker

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 20, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location June 20, 2016

Registered at 11075 S STATE ST STE 16, SANDY, UT 840705196 (Tel: 8019480939)

📍
Updated Business Mailing Address June 20, 2016

Registered at 11075 S STATE ST STE 16, SANDY, UT 840705196 (Tel: 8019480939)

👤
Provider Name / Credentials Updated June 20, 2016

Recorded as TYLER STARK, LCMHC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 20, 2016

Counselor (License #8598755-6004 in UT)

🟢
Initial NPI Registration & Enumeration June 20, 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: 1598115669
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 20, 2016
Last Update: June 20, 2016
Sole Proprietor: Yes

Mailing Address

11075 S State St Ste 16

Sandy, UT 840705196

Phone: 8019480939

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.