Individual provider · Type 1 NPI

Audra Rysevas

Peer Specialist · Salt Lake City, UT

NPI number 1770437824 Active

Practice location

140 W 2100 S Ste 130B
Salt Lake City, UT 84115-1854

Call (801) 896-7930 Map

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XF25-117395 (UT)

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1770437824

Audra Rysevas's National Provider Identifier is 1770437824, issued on Feb 25, 2026. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Salt Lake City, UT. The record was last updated on Feb 25, 2026.