Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Daxton Mark Johnson

Individual provider Mental Health Counselor · NPI 1720775448

Daxton Mark Johnson is a Mental Health Counselor in Salt Lake City, Utah. Qualified in 2024, 2 years ago. Works from 2 locations.

Years since qualifying
2
In the registry since
2023

Practice location Address checks out

5296 S 300 W
Salt Lake City, UT 84107-4767
Phone: (801) 921-7854
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1935 E Vine St Ste 170, Murray, UT 84121-2197 — (801) 639-9833

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1720775448
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 21, 2023
Last updated in NPPESApril 20, 2026
Certification dateApril 20, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations4 on file with Medicare

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