COLLIN KIP PRISBREY (NPI# 1144599101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144599101 |
| Entity Type | Individual |
| Full Name | COLLIN KIP PRISBREY |
| Practice Address |
4800 East 17160 North Moroni UT 84646-0028 |
| Mailing Address |
Po Box 28 Moroni UT 84646-0028 |
| Practice Telephone | 4354365321 |
| Practice Fax Number | 4354365322 |
| Mailing Telephone | 4354365321 |
| Mailing Fax Number | 4354365322 |
| Enumeration Date | 2011-12-21 |
| Last Update Date | 2011-12-21 |
| 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 |
4800 EAST 17160 NORTH |
| City | MORONI |
| State | UT |
| Zip Code | 84646-0028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275828949 | Robert Duane Simonson | Social Worker | 4800 East 17160 North, Moroni, UT 84646 | 2011-06-10 |
| 1184089955 | Juan Carlos Grillo | Counselor | 4800 East 17160 North, Moroni, UT 84646-0028 | 2015-12-22 |
| 1720452279 | David Benjamin Tanner | Counselor | 4800 East 17160 North, Moroni, UT 84646-0028 | 2015-11-20 |
| 1366816902 | Mackay Dale Shelley | Counselor | 4800 East 17160 North, Moroni, UT 84646-0028 | 2015-11-19 |
| 1780083808 | Adam Brent Dyches I | Counselor | 4800 East 17160 North, Moroni, UT 84646 | 2014-08-14 |
| 1871862839 | Manu Ryan Tukuafu | Counselor | 4800 East 17160 North, Moroni, UT 84646-0028 | 2011-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942727029 | Doug Lloyd Hopes | Counselor | 21630 North 1450 East, Morona, UT 84646 | 2017-08-29 |
| 1881002061 | Compass Academy Transitional Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4800 E 17160 N, Moroni, UT 84646 | 2014-07-31 |
| 1932534260 | Matthew Truman Johnson | Substance Abuse Rehabilitation Facility | 2860 E 19500 N, Moroni, UT 84646 | 2013-09-05 |
| 1457611766 | Samuel Paul Wilkey | Substance Abuse Rehabilitation Facility | 21360 N 1450e, Moroni, UT 84646 | 2012-05-21 |
| 1386950392 | Josh Wilkey | Community Health Worker | 4800 E. 17160 N, Moroni, UT 84646 | 2010-08-27 |
| 1891007886 | Compass Academy | Residential Treatment Facility, Emotionally Disturbed Children | 4800 E. 17160 N., Moroni, UT 84646 | 2010-07-08 |
| 1518906320 | Eileen Keenan Jackson | Family Medicine | 51 E Main St., Moroni, UT 84646 | 2006-06-06 |
| 1225537707 | Jessica Pay | Counselor | 2860 East 19500 North, Moroni, UT 84646 | 2018-02-09 |
| 1134628613 | Todd Pay | Counselor | 2860 East 19500 North, Moroni, UT 84646 | 2018-02-09 |
| 1386182426 | Richard Newton | Social Worker | 21260 N 1450 E, Moroni, UT 84646 | 2017-02-09 |
| Find all providers in zip 84646 | ||||
| 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 |
|---|---|---|---|---|
| 1427558816 | Troy Abplanalp | Counselor | Po Box 461, Moroni, UT 84646-0461 | 2018-02-13 |
| 1225537707 | Jessica Pay | Counselor | 2860 East 19500 North, Moroni, UT 84646 | 2018-02-09 |
| 1134628613 | Todd Pay | Counselor | 2860 East 19500 North, Moroni, UT 84646 | 2018-02-09 |
| 1669985669 | Michael Raymond Hamm Jr. | Counselor | 21360 North 1450 East, Moroni, UT 84646461 | 2017-11-13 |
| 1114448362 | Amy Ruth Brown | Counselor | 21360 N 1450 E, Moroni, UT 84646-0461 | 2017-06-28 |
| 1508386608 | Katie Cranford | Counselor | 21360 N 1450 E, Moroni, UT 84646-0461 | 2017-06-21 |
| 1366978827 | Jake Paxman | Counselor | 21360 N 1450 E, Moroni, UT 84646-0461 | 2017-05-03 |
| 1437685906 | Erick Espinoza | Counselor | 21360 N 1450 E, Moroni, UT 84646-0461 | 2017-05-03 |
| 1174060040 | Dan Rickenbach | Counselor | 21260 N 1450 E, Moroni, UT 84646-0461 | 2017-01-30 |
| 1699120279 | Rocky Dettamanti | Counselor | 21360 N 1450 E, Moroni, UT 84646-0461 | 2016-05-02 |
| Find all providers in MORONI | ||||
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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.