MR. RANDY JAY THOMPSON (NPI# 1063977130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063977130 |
| Entity Type | Individual |
| Full Name | MR. RANDY JAY THOMPSON |
| Practice Address |
935 S Orem Blvd Orem UT 84058 |
| Mailing Address |
935 S Orem Blvd Orem UT 84058-5011 |
| Practice Telephone | 8019035903 |
| Enumeration Date | 2019-02-04 |
| Last Update Date | 2019-02-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
5026157-3501 | UT | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 935 S Orem Blvd, Orem, UT 84058 | 8019035903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780934901 | Randy Brian Thompson | Behavioral Analyst | 435 N Craig Ave, Pasadena, CA 91107-2402 | 2012-09-14 |
| 1396047486 | Randy L Thompson | Nurse Practitioner | 7101 Jahnke Rd, Suite 611, Richmond, VA 23225-4017 | 2010-11-23 |
| 1932433075 | Randy Thompson | Counselor | 11191 Illinois Route 185, Hillsboro, IL 62049-2664 | 2009-09-22 |
| 1134326127 | Randy Samuels Thompson | Counselor | 4900 Serrania Ave, Woodland Hills, CA 91364-3301 | 2007-07-02 |
| 1497887053 | Randy Lane Thompson | Psychiatry & Neurology | 911 N Elm St, Suite 316, Hinsdale, IL 60521-3634 | 2007-03-09 |
| 1669408597 | Randy H Thompson | Emergency Medicine | 2800 10th Ave N, Billings, MT 59101-0703 | 2006-06-23 |
| Street Address |
935 S OREM BLVD |
| City | OREM |
| State | UT |
| Zip Code | 84058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881828036 | Frances Y. Liu | Pediatrics | 935 S Orem Blvd, Orem, UT 84058-5011 | 2009-05-03 |
| 1376141507 | Matthew Lawrence Harding | Counselor | 935 S Orem Blvd, Orem, UT 84058-5011 | 2020-10-09 |
| 1518584994 | Stephen Sommers | Counselor | 935 S Orem Blvd, Orem, UT 84058-5011 | 2020-07-01 |
| 1588207369 | Annette Kathryn Lowery-klingler | Nurse Practitioner | 935 S Orem Blvd, Orem, UT 84058-5011 | 2019-10-23 |
| 1326561408 | Aaron Allred | Psychologist | 935 S Orem Blvd, Orem, UT 84058-5011 | 2017-07-20 |
| 1720512270 | Allred Psychological Services | Psychologist | 935 S Orem Blvd, Orem, UT 84058-5011 | 2017-04-11 |
| 1659826915 | Sarah Ingerson | Nurse Practitioner | 935 S Orem Blvd, Orem, UT 84058-5011 | 2016-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821696782 | Kaley Brooksby | Behavior Technician | 1140 W 1130, Orem, UT 84058 | 2020-10-13 |
| 1679042303 | Carolyn Mott Harvey | Counselor | 276 E 905 S, Orem, UT 84058 | 2018-11-26 |
| 1902371826 | Jennifer Morgan Ellefsen | Nurse Practitioner | 800 W University Pkwy # Ms 200, Orem, UT 84058 | 2018-10-07 |
| 1508340944 | Eye Pros of Orem | Optometrist | 366 E. University Parkway, Orem, UT 84058 | 2018-09-21 |
| 1003398025 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 366 E University Pkwy, Orem, UT 84058 | 2018-09-06 |
| 1407338288 | Jecel Kevin Mendoza | Case Manager/Care Coordinator | 1109 W 1390 S, Orem, UT 84058 | 2018-08-29 |
| 1407368509 | Kaitlyn Winget | Specialist/Technologist | 800 W. University Pkwy, Dept of Athletics- Ms 104, Orem, UT 84058 | 2017-10-30 |
| 1871010454 | Linda S George | Behavior Technician | 1875 S Geneva Road, Orem, UT 84058 | 2017-08-24 |
| 1811435951 | Rhea V. Perry | Massage Therapist | 35 S 400 W, Orem, UT 84058 | 2017-02-09 |
| 1457735425 | John Thomas Garlock | Behavioral Analyst | 1140 W 1130 S Bld B, Orem, UT 84058 | 2015-07-19 |
| Find all providers in zip 84058 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720699267 | Utah Community Counseling and Behavioral Services | Counselor | 51 W Center St # 302, Orem, UT 84057-4605 | 2020-08-10 |
| 1467080507 | White Canvas Counselling LLC | Counselor | 560 S State St Ste E1-c, Orem, UT 84058-6354 | 2020-04-01 |
| 1639727241 | Charles Michael King | Counselor | 1470 S 430 W, Orem, UT 84058-7313 | 2019-08-27 |
| 1679042303 | Carolyn Mott Harvey | Counselor | 276 E 905 S, Orem, UT 84058 | 2018-11-26 |
| 1861978595 | Lita Little Giddins | Counselor | 947 E 880 N, Orem, UT 84097-3444 | 2018-07-16 |
| 1023594769 | Abraham Hudson | Counselor | 853 W Center St, Orem, UT 84057-5201 | 2018-07-16 |
| 1497246623 | Karyn Coppock Takke | Counselor | 1465 W Center St, Orem, UT 84057-5104 | 2018-05-23 |
| 1922523281 | Katherine B Bruner | Counselor | 222 W 540 N, Orem, UT 84057-6631 | 2017-08-08 |
| 1508387739 | Whitney Ann Hebbert | Counselor | 1431 N 1200 W, Orem, UT 84057-2449 | 2017-06-28 |
| 1417488040 | Riverwoods Behavioral Health PC | Counselor | 689 S River Breeze Dr, Orem, UT 84097-6685 | 2017-03-24 |
| Find all providers in OREM | ||||
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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.