CHARLES L CRANE (NPI# 1194901637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194901637 |
| Entity Type | Individual |
| Full Name | CHARLES L CRANE |
| Credential | LMFT |
| Practice Address |
175 N 100 W Suite 106 Vernal UT 84078-9802 |
| Practice Telephone | 4357906954 |
| Practice Fax Number | 4357812116 |
| Mailing Telephone | 4357906954 |
| Mailing Fax Number | 4357812116 |
| Enumeration Date | 2008-01-15 |
| Last Update Date | 2016-12-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 6845102-3904 | UT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760968606 | Charles Edward Crane IIi | Dentist | 9565 Highway 78 Bldg 600b, Ladson, SC 29456-4116 | 2018-07-13 |
| 1962828392 | Charles Seamus Crane | Massage Therapist | 1157 3rd Ave Ste 145, Longview, WA 98632-6004 | 2014-03-10 |
| 1194762732 | Charles Crane | Internal Medicine | 102 Euclid Avenue, Suite 202, Sandpoint, ID 83864-4912 | 2006-06-01 |
| 1033550900 | Charles Crane | Counselor | 1490 Grimes St, Fallon, NV 89406-3103 | 2013-07-08 |
| 1275747339 | Charles Evan Crane | Dentist | 7208 Beneva Rd, Sarasota, FL 34238-2806 | 2007-05-09 |
| 1649349093 | Charles Crane | Family Medicine | 2500 Alhambra Ave, Martinez, CA 94553-3156 | 2006-11-07 |
| 1710961917 | Charles J Crane | Ophthalmology | 71 2nd St, South Orange, NJ 07079-1855 | 2005-12-01 |
| Street Address |
175 N 100 W SUITE 106 |
| City | VERNAL |
| State | UT |
| Zip Code | 84078-9802 |
| 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 |
| 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 |
| 1891157301 | Shellie Anderson | Counselor | 1140 W 500 S, Vernal, UT 84078-2914 | 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.