JORDAN WITBECK (NPI# 1134567936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134567936 |
| Entity Type | Individual |
| Full Name | JORDAN WITBECK |
| Practice Address |
1140 W 500 S Ste 9 Vernal UT 84078-2912 |
| Practice Telephone | 4357896300 |
| Practice Fax Number | 4357256325 |
| Mailing Telephone | 4357896300 |
| Mailing Fax Number | 4357256325 |
| Enumeration Date | 2013-06-13 |
| Last Update Date | 2013-06-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
1140 W 500 S STE 9 |
| City | VERNAL |
| State | UT |
| Zip Code | 84078-2912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669775854 | Jonathan E Crane | Social Worker | 1140 W 500 S Ste 9, Vernal, UT 84078-2912 | 2010-12-10 |
| 1073127866 | Alyssa Lauren Henderson | Case Manager/Care Coordinator | 1140 W 500 S Ste 9, Vernal, UT 84078-2912 | 2020-08-31 |
| 1700490596 | Rafe Dudley | Case Manager/Care Coordinator | 1140 W 500 S Ste 9, Vernal, UT 84078-2912 | 2020-08-31 |
| 1720600703 | Kierra Gibbons | Social Worker | 1140 W 500 S Ste 9, Vernal, UT 84078-2912 | 2020-05-12 |
| 1962024380 | Melinda Allridge | Social Worker | 1140 W 500 S Ste 9, Vernal, UT 84078-2912 | 2020-05-07 |
| 1215580063 | Aaron Scott Wickel | Case Manager/Care Coordinator | 1140 W 500 S Ste 9, Vernal, UT 84078-2912 | 2019-07-22 |
| 1225698517 | Kandice Searle | Social Worker | 1140 W 500 S Ste 9, Vernal, UT 84078-2912 | 2019-06-18 |
| 1659931921 | Desree Allred | Social Worker | 1140 W 500 S Ste 9, Vernal, UT 84078-2912 | 2019-06-18 |
| 1023678323 | Heather Elise Barnes | Social Worker | 1140 W 500 S Ste 9, Vernal, UT 84078-2912 | 2019-06-18 |
| 1588223622 | Rebecca Lynn Gardiner | Registered Nurse | 1140 W 500 S Ste 9, Vernal, UT 84078-2912 | 2019-06-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205479748 | Wade Oliver Moulton | Pharmacist | 1080 W Hwy 40, Vernal, UT 84078 | 2019-10-28 |
| 1841610383 | Allegiance Addiction Recovery Center | Substance Abuse Rehabilitation Facility | 4430 N Little Valley Road, Vernal, UT 84078 | 2014-04-23 |
| 1689008773 | Ashley Valley Physician Practice, LLC | Occupational Therapist | 1680 W Highway 40 Ste 202, Vernal, UT 84078 | 2013-08-26 |
| 1528371796 | Terry L Smith | Counselor | 1140 W 500 S #9, Vernal, UT 84078 | 2010-07-16 |
| 1619280880 | Cicile M Rios | Counselor | 1140 W 800 S #9, Vernal, UT 84078 | 2010-07-16 |
| 1265754840 | Marjorie Elaine Gardner | Licensed Practical Nurse | 133 S 500 East, Vernal, UT 84078 | 2010-02-23 |
| 1528205853 | Robert Kirkham Jolley | Dentist | 40 West 100 North, Vernal, UT 84078 | 2009-01-08 |
| 1740482025 | Ashley Valley Physician Practice, LLC | Family Medicine | 175 N. 100 W., Suite 202, Vernal, UT 84078 | 2007-05-31 |
| 1265646459 | Ashley Valley Medical Center | Pharmacy | 151 W. 200 N., Vernal, UT 84078 | 2007-05-09 |
| 1629122692 | Brian Prentice Callahan | Dentist | 779 West Us Highway 40, Vernal, UT 84078 | 2007-01-23 |
| Find all providers in zip 84078 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396216982 | Steven Frank Fast Wolf | Counselor | 138 E 960 S Apt S102, Vernal, UT 84078-3396 | 2018-12-08 |
| 1326410960 | The Phoenix Recovery & Counseling Center - Vernal | Counselor | 1783 W 1000 S, Vernal, UT 84078-4115 | 2015-10-22 |
| 1457651168 | Joslin D Batty | Counselor | 185 N Vernal Ave Ste 1, Vernal, UT 84078-2100 | 2010-10-27 |
| 1528371796 | Terry L Smith | Counselor | 1140 W 500 S #9, Vernal, UT 84078 | 2010-07-16 |
| 1619280880 | Cicile M Rios | Counselor | 1140 W 800 S #9, Vernal, UT 84078 | 2010-07-16 |
| 1194901637 | Charles L Crane | Counselor | 175 N 100 W Suite 106, Vernal, UT 84078-9802 | 2008-01-15 |
| 1689159485 | Sara Elaine Simpson | Counselor | 1140 W 500 S Ste 9, Vernal, UT 84078-2912 | 2018-09-27 |
| 1245683564 | Heatherly Ann Gardner | Counselor | 1140 W 500 S Ste 9, Vernal, UT 84078-2912 | 2016-07-21 |
| 1962854190 | Diane Lynn Carney | Counselor | 1140 W 500 S Ste 9, Vernal, UT 84078-2912 | 2016-07-12 |
| 1679935183 | Dylan Graff | Counselor | 1140 W 500 S Ste 9, Vernal, UT 84078 | 2016-03-23 |
| Find all providers in VERNAL | ||||
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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.