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

Mr. Wade Poulsen

Individual provider Mental Health Counselor · NPI 1427355650

Mr. Wade Poulsen is a Mental Health Counselor in Salt Lake City, Utah. Qualified in 2010, 16 years ago. Practices with Bear River Mental Health Services Inc, a 29-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
16
Licensed in
UT
In the registry since
2011
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Practice location Address checks out

145 E 1300 S Ste 501
Salt Lake City, UT 84115-5482
Phone: (385) 468-3559
Fax: (385) 468-3560
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 7966792-6004 (UT)

Record details

NPI number1427355650
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 24, 2011
Last updated in NPPESJuly 14, 2014

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Bear River Mental Health Services Inc — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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