MRS. BONITA GRAY KOLB (NPI# 1043461718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043461718 |
| Entity Type | Individual |
| Full Name | MRS. BONITA GRAY KOLB |
| Credential | L.P.C. |
| Practice Address |
8160 Highland Dr Building A Sandy UT 84093-6492 |
| Practice Telephone | 8018314339 |
| Mailing Telephone | 8018314339 |
| Enumeration Date | 2008-09-30 |
| Last Update Date | 2008-09-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | 313308-6004 | UT | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
313308-6004 | UT | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
313308-6004 | UT | Behavioral Health & Social Service Providers |
| Street Address |
8160 HIGHLAND DR BUILDING A |
| City | SANDY |
| State | UT |
| Zip Code | 84093-6492 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992758767 | Nancy C Hanson | Social Worker | 8160 Highland Dr, Suite 204, Sandy, UT 84093-6492 | 2006-05-19 |
| 1598055147 | Il Significato | Marriage & Family Therapist | 8160 Highland Dr, Suite 209, Sandy, UT 84093-6492 | 2011-04-17 |
| 1134306558 | Kenneth C. Rodgers | Psychologist | 8160 Highland Dr, # 102, Sandy, UT 84093-6492 | 2008-01-28 |
| 1437173259 | Paul Sanders Brandt | Social Worker | 8160 Highland Dr, Sandy, UT 84093-6492 | 2006-07-26 |
| 1841212727 | Kenneth C. Rodgers, Ph.d., P.C. | Psychologist | 8160 Highland Dr, # 102, Sandy, UT 84093-6492 | 2006-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942830674 | Maren Vanwagoner Ferre | Nurse Practitioner | 1455 E Quail Stream Ln, Cottonwood Heights, UT 84093 | 2020-01-22 |
| 1154820041 | Cassandra Bringhurst | Music Therapist | 8261 S Viscounti Dr., Sandy, UT 84093 | 2018-02-06 |
| 1518480540 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 8645 S Highland Dr, Sandy, UT 84093 | 2017-07-21 |
| 1457881955 | Valor Psychological Services, LLC | Psychologist | 8160 S Highland Dr Ste C104, Sandy, UT 84093 | 2017-06-16 |
| 1700279197 | Russell G. Lewis | Dentist | 1434 E. 9400 S. Ste 201, Sandy, UT 84093 | 2015-03-10 |
| 1568771350 | Susan Lynn Nikola | Pharmacist | 8745 S. Highland Dr, Sandy, UT 84093 | 2010-09-28 |
| 1659696227 | Pamela Elizabeth Boyleston | Nurse Anesthetist, Certified Registered | 2628 Partridge Way, Sandy, UT 84093 | 2010-04-07 |
| 1700025582 | Kirk Madson Neuberger | Surgery | 9181 Wedgefield Dr., Sandy, UT 84093 | 2009-02-18 |
| 1326230392 | Sunrie Sandy Senior Living LLC | Assisted Living Facility | 2101 E 9400 S, Sandy, TN 84093 | 2007-08-14 |
| 1497870588 | Chandra Lee Roberson | Counselor | 8188 So. Highland Drive, Suite D-4, Sandy, UT 84093 | 2007-03-20 |
| Find all providers in zip 84093 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972141653 | Sarah Elizabeth Kumm | Counselor | 39065 Pioneer Blvd Ste 104, Sandy, OR 97055-8088 | 2019-12-13 |
| 1053832261 | Julie Ann Jardine Tucker | Counselor | 9192 S 300 W Ste 17a, Sandy, UT 84070-2673 | 2017-06-28 |
| 1164795902 | Bernadette Smith | Counselor | 7903 Harvel Dr, Sandy, UT 84070-0118 | 2012-02-09 |
| 1104121599 | Danielle H. Dana | Counselor | 8665 Aspen Way, Sandy, UT 84093-1830 | 2011-01-17 |
| 1669785440 | David Jonathan Wilde | Counselor | 10038 S Countrywood Dr, Sandy, UT 84092 | 2010-07-21 |
| 1578799177 | Froerer Counseling Services | Counselor | 11075 S State St Ste 28, Sandy, UT 84070-5176 | 2009-06-09 |
| 1366603409 | Rod W Jeppsen | Counselor | 9500 S 500 W, Suite 209, Sandy, UT 84070-2574 | 2008-06-20 |
| 1801060496 | David Wenzel | Counselor | 39085 Pioneer Blvd Ste 104, Sandy, OR 97055-8062 | 2008-04-15 |
| 1003002544 | Jacqueline Hyde | Counselor | 10151 Majestic Canyon Rd, Sandy, UT 84092-4521 | 2007-09-19 |
| 1497870588 | Chandra Lee Roberson | Counselor | 8188 So. Highland Drive, Suite D-4, Sandy, UT 84093 | 2007-03-20 |
| Find all providers in SANDY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.