ALEXA BLACK (NPI# 1255998589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255998589 |
| Entity Type | Individual |
| Full Name | ALEXA BLACK |
| Practice Address |
650 E 4500 S Ste 300 Murray UT 84107-4502 |
| Practice Telephone | 8012613500 |
| Mailing Telephone | 8012613500 |
| Enumeration Date | 2019-05-22 |
| Last Update Date | 2019-05-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891352951 | Alexa Black | Counselor | 6013 S Redwood Rd, Taylorsville, UT 84123-5220 | 2019-05-23 |
| 1104481050 | Alexa Nicole Black | Student in an Organized Health Care Education/Training Program | 500 S Preston St Rm 305, Louisville, KY 40202-1702 | 2019-05-07 |
| Street Address |
650 E 4500 S STE 300 |
| City | MURRAY |
| State | UT |
| Zip Code | 84107-4502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679028765 | Lindy Snell Christensen | Social Worker | 650 E 4500 S Ste 300, Murray, UT 84107-4502 | 2016-08-18 |
| 1144833211 | Alison Clare Kelleher | Counselor | 650 E 4500 S Ste 300, Murray, UT 84107-4502 | 2020-08-28 |
| 1417579228 | William Nieminem | Counselor | 650 E 4500 S Ste 300, Murray, UT 84107-4502 | 2020-05-14 |
| 1487284055 | William Jasper Rozum | Student in an Organized Health Care Education/Training Program | 650 E 4500 S Ste 300, Murray, UT 84107-4502 | 2020-01-22 |
| 1255988515 | Samantha Mecham | Social Worker | 650 E 4500 S Ste 300, Murray, UT 84107-4502 | 2019-08-21 |
| 1215494885 | Brittany Ann Lawter | Counselor | 650 E 4500 S Ste 300, Murray, UT 84107-4502 | 2019-03-01 |
| 1831678168 | Kathryn Anne Rose | Counselor | 650 E 4500 S Ste 300, Murray, UT 84107-4502 | 2018-08-08 |
| 1720564362 | Skip A Henrie | Social Worker | 650 E 4500 S Ste 300, Murray, UT 84107-4502 | 2018-07-17 |
| 1114403698 | Ethan B Shipp | Student in an Organized Health Care Education/Training Program | 650 E 4500 S Ste 300, Murray, UT 84107-4502 | 2018-07-17 |
| 1912418898 | Nathan Jacquez | Counselor | 650 E 4500 S Ste 300, Murray, UT 84107-4502 | 2017-10-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410517 | Brielle Nicole Poulter | Student in an Organized Health Care Education/Training Program | 345 East 4500 So #260, Murray, UT 84107 | 2020-09-01 |
| 1467016592 | Ashlee Brown | Social Worker | C-134, 5284 Commerce Drive, Murray, Murray, UT 84107 | 2019-04-24 |
| 1568940633 | Samantha Duff | Occupational Therapist | 5770 S Fashion Blvd, Bldg 5 Ste 201, Murray, UT 84107 | 2018-08-01 |
| 1881185247 | Derek John Sharp | Occupational Therapist | 5770 S Fashion Blvd, Bldg #5, Suite 210, Murray, UT 84107 | 2018-05-22 |
| 1093223091 | Erin Nicole Hill | Counselor | 345 East 4500 South Suite 260, Murray, UT 84107 | 2018-01-12 |
| 1588171219 | Nicole Danielle Jensen | Counselor | 345 East 4500 South, Suite 260, Murray, UT 84107 | 2018-01-03 |
| 1043725799 | Greater Endodontics LLC | Dentist | 5334 South Woodrow Street, Suite 201, Salt Lake City, UT 84107 | 2017-12-04 |
| 1043739667 | Karyn K Hodge | Audiologist | 4500 So. 777. E. Ste #110, Murray, UT 84107 | 2017-09-14 |
| 1912426750 | Brandon C Burton | Specialist/Technologist, Other | Cta Community Supports 4444 S, 700 E Suite 203, Salt Lake City, UT 84107 | 2017-09-13 |
| 1396261152 | Megan Lehane Delano | Plastic Surgery | 5169 Cottonwood St Ste 420, Murray, UT 84107 | 2017-08-14 |
| Find all providers in zip 84107 | ||||
| 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 |
|---|---|---|---|---|
| 1164040614 | Mark E Hutchinson | Counselor | 5047 S Galleria Drive, Murray, UT 84123 | 2020-07-10 |
| 1316465693 | Randy Gines | Counselor | 4460 S Highland Drive # 230, Murray, UT 84124 | 2017-09-06 |
| 1417470717 | Joshua Chandler Spencer | Counselor | 4460 South Highland Dr., 230, Murray, UT 84124 | 2017-07-19 |
| 1659891554 | Marcus Whitney | Counselor | 4460 S Highland Dr. # 230, Murray, UT 84124 | 2017-06-21 |
| 1518496884 | Courtney Nilson | Counselor | 4460 S. Highland Dr. #230, Murray, UT 84124 | 2017-06-08 |
| 1356700272 | Justin Duncan | Counselor | 5250 S Commerce Dr # Ut, Murray, UT 84107-7926 | 2016-02-19 |
| 1184030165 | Rieneke Antonio | Counselor | 5695 S 900 E, Murray, UT 84121-1720 | 2014-07-10 |
| 1447552740 | Mark Matthew Pepper | Counselor | 5827 S Twin Willows Cir, Murray, UT 84123-5777 | 2010-11-19 |
| 1043838592 | Wendy Meyer | Counselor | 5047 S Galleria Drive, Murray, UT 84123 | 2020-07-10 |
| 1306464854 | Eman S Warburton | Counselor | 5047 S Galleria Drive, Murray, UT 84123 | 2020-07-10 |
| Find all providers in MURRAY | ||||
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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.