JACK KETTERING


Address: 930 W Hill Field Rd, A, Layton, UT 84041-4662
Phone: 8013663040

JACK KETTERING (NPI# 1043516925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043516925
Entity Type Individual
Full Name JACK KETTERING
Credential MA
Practice Address 930 W Hill Field Rd
A
Layton
UT 84041-4662
Mailing Address 899 Carter Dr
Riverdale
UT 84405-2630
Practice Telephone 8013663040
Mailing Telephone 4805430038
Enumeration Date 2011-02-09
Last Update Date 2013-10-14
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers

Office Location

Street Address 930 W HILL FIELD RD
A
City LAYTON
State UT
Zip Code 84041-4662

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639119548 John Thomas Hill Marriage & Family Therapist 930 W Hill Field Rd, Suite A, Layton, UT 84041-4662 2006-06-08
1184223083 Daniel Stuart Marriage & Family Therapist 930 W Hill Field Rd, Layton, UT 84041-4662 2020-10-21
1851999247 Courtnie Christiansen Student in an Organized Health Care Education/Training Program 930 W Hill Field Rd, Layton, UT 84041-4662 2020-10-16
1922653567 Marisa Wall Social Worker 930 W Hill Field Rd, Layton, UT 84041-4662 2019-08-08
1891251021 Lesley Anne De La Torre Counselor 930 W Hill Field Rd, Layton, UT 84041-4662 2019-02-12
1215416052 Rachel Garner Counselor 930 W Hill Field Rd, Layton, UT 84041-4662 2018-08-13
1912420894 Linda S Wininger Social Worker 930 W Hill Field Rd, Layton, UT 84041-4662 2017-07-21
1881822716 Blaine Reuben Hickman Social Worker 930 W Hill Field Rd, #a, Layton, UT 84041-4662 2009-06-30
1447492301 Bryan Lowell Nielsen Counselor 930 W Hill Field Rd, Suite A, Layton, UT 84041-4662 2009-03-24
1467672675 David Lorin Pitcher Social Worker 930 W Hill Field Rd, Suite A, Layton, UT 84041-4662 2007-04-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1700499183 Grab Healthcare, LLC Clinic/Center 245 E 2150 N, Suite C, Layton, UT 84041 2020-08-26
1154961399 Victoria Leeann Taylor Massage Therapist 716 Antelope Dr, Layton, UT 84041 2020-01-15
1184181505 Brian Taylor Woodbury Occupational Therapist 471 Heritage Park Blvd. Ste #5, Layton, UT 84041 2019-02-21
1740756816 Jacob C Juarez Physician Assistant 2084 N. 1700 W., Suite A, Layton, UT 84041 2018-10-16
1134637945 Jodi Lynn Siri Counselor 365 W 1550 N Ste F, Layton, UT 84041 2018-01-15
1083128029 Utah Cvs Pharmacy LLC Pharmacy 50 South Fort Lane, Layton, UT 84041 2017-11-29
1376057315 Utah Cvs Pharmacy, L.L.C. Durable Medical Equipment & Medical Supplies 2000 W & W 1700 S Nec, Layton, UT 84041 2017-11-29
1912411992 Live Strong House LLC Counselor 377 N. Marshall Way, Suite 1b, Layton, UT 84041 2017-11-28
1003326505 Kenneth L Ernstrom Pharmacist 2065 N Robins Drive, Layton, UT 84041 2017-10-10
1356868319 Utah Home Health and Hospice LLC Family Medicine 920 W Heritage Park Blvd Suite 120, Layton, UT 84041 2017-08-29
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790328102 Dylan L Redd Counselor 476 Heritage Park Blvd, Layton, UT 84041-5713 2019-10-18
1508362195 Nicholas Ian Mathis Counselor 327 W Gordon Ave Ste 1, Layton, UT 84041-2381 2018-04-03
1134637945 Jodi Lynn Siri Counselor 365 W 1550 N Ste F, Layton, UT 84041 2018-01-15
1093232324 Alyson Gardner Counselor 327 W Gordon Ave # 1, Layton, UT 84041-2377 2017-08-28
1720537210 Dena Letendre Counselor 3067 W 350 N, Layton, UT 84041-8816 2016-09-26
1205223849 Damon Christopher Corgiat Counselor 1916 Layton Hills Pkwy, Suite 190, Layton, UT 84041-5673 2015-04-21
1598157489 Dina Hargrave Counselor 327 W Gordon Ave Ste 2, Layton, UT 84041-2381 2015-03-02
1154729317 Outlook Counseling Services, Pllc Counselor 2621 Oak Hills Dr, Layton, UT 84040-7526 2014-12-19
1538575659 Wendy Foster Counselor 2363 North Hillfield Rd., Ste #6, Layton, UT 84041 2014-07-09
1013328103 Melanie Richardson Counselor 2363 N Hill Field Rd Ste 6, Layton, UT 84041-6958 2014-05-12
Find all providers in LAYTON

Competitor

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City LAYTON
Zip Code 84041

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Dataset Information

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.

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