Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tiana Makaiwa Park Louis, LCADC, CPC-INTERN

Individual provider Professional Counselor · NPI 1508176769

Tiana Makaiwa Park Louis, LCADC, CPC-INTERN is a Mental Health Counselor in Salt Lake City, Utah. Qualified in 2008, 18 years ago. Licensed in Colorado, Nevada and Utah.

Years since qualifying
18
Licensed in
CO, NV, UT
In the registry since
2010
Specialties on file
3
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Practice location Address checks out

3970 S Howick St Unit B135
Salt Lake City, UT 84107-1491
Phone: (702) 271-9458
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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 127859346004 (UT)
Professional Counselor Taxonomy 101YP2500X · Licence CI0047 (NV)
Professional Counselor Taxonomy 101YP2500X · Licence 0022392 (CO)

Record details

NPI number1508176769
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCADC , CPC-INTERN
Sole proprietorNo
NPI enumeratedOctober 20, 2010
Last updated in NPPESAugust 6, 2025
Certification dateAugust 6, 2025

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Accepts Medicare assignment Not indicated

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