CHANDRA FENWICK


Address: 508 E South Temple, Suite 201, Salt Lake City, UT 84102-1013
Phone: 8013239900

CHANDRA FENWICK (NPI# 1275743429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275743429
Entity Type Individual
Full Name CHANDRA FENWICK
Credential M.S. MHC
Practice Address 508 E South Temple
Suite 201
Salt Lake City
UT 84102-1013
Practice Telephone 8013239900
Enumeration Date 2007-05-23
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor 6600829-6009 UT Behavioral Health & Social Service Providers

Office Location

Street Address 508 E SOUTH TEMPLE
SUITE 201
City SALT LAKE CITY
State UT
Zip Code 84102-1013

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346219243 Sally Sue Burgin Social Worker 508 E South Temple, #a 30, Salt Lake City, UT 84102-1013 2006-03-15
1538462874 Becky Bailey, Ph.d., PC Psychologist 508 E South Temple, #225, Salt Lake City, UT 84102-1013 2010-12-08
1073840963 Kathleen K Lindsay Nurse Practitioner 508 E South Temple, Suite 310, Salt Lake City, UT 84102-1013 2009-11-12
1053548214 Ronda Joy Miller-ernest Nurse Practitioner 508 E South Temple, 310, Salt Lake City, UT 84102-1013 2009-06-16
1508036898 Anne Freed Goldberg Social Worker 508 E South Temple, Suite 206, Salt Lake City, UT 84102-1013 2008-03-03
1124228168 Scott Bryan Hair Dentist 508 E South Temple, Suite 126, Salt Lake City, UT 84102-1013 2007-07-18
1740499433 Intermountain Pediatric Clinic Pediatrics 508 E South Temple, Suite 310, Salt Lake City, UT 84102-1013 2007-05-21
1205041894 Sidne Jones Nurse Practitioner 508 E South Temple, Suite 206, Salt Lake City, UT 84102-1013 2007-05-14
1477676112 Paul H. Swensen Pediatrics 508 E South Temple, Suite 310, Salt Lake City, UT 84102-1013 2007-04-09
1538281050 Alan N Lindsay Pediatrics 508 E South Temple, Suite 310, Salt Lake City, UT 84102-1013 2007-04-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942818604 Wendy Vazquez Behavior Technician 515 S 700 E Suit 2a, Salt Lake City, UT 84102 2020-07-20
1407481245 Odyssey House Inc Family Medicine 743 E 300 S, Salt Lake City, UT 84102 2020-03-11
1093359960 Hayle Mayer Behavior Technician 515 S 700 E Salt Lake City, Suite 2a, Salt Lake, UT 84102 2019-11-04
1326680869 Ronald Mcdonald House of The Intermountain Area Meals 935 E. South Temple, Salt Lake City, UT 84102 2019-10-16
1508419581 Claire Pemberton Behavior Technician 327 E 1300 S, Apt 2, Salt Lake City, UT 84102 2019-07-19
1558923144 Olivia Anne Hardwick Social Worker Transitions At Slrmc, 86 S. 1100 E. Suite 404, Salt Lake City, UT 84102 2019-07-03
1649741802 Colten Vancampen Behavior Technician 515 S 700 E #2a, Salt Lake City, UT 84102 2018-12-16
1457847964 Utah Podiatry Group PC Podiatrist 24 S 1100 E Ste 120, Salt Lake City, UT 84102 2018-07-09
1104311661 Malorey Kooyman Behavior Technician 515 700 East, Suite 2a, Salt Lake City, UT 84102 2018-06-27
1700384930 Utah Podiatry Group PC Podiatrist 82 S 1100 E Ste 301, Salt Lake City, UT 84102 2018-01-23
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Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780281519 Sitti Suhardi Counselor 2550 S Main St Apt 1307, Salt Lake City, UT 84115-3071 2020-10-05
1801400015 Tyra Mae Vance Counselor 3375 S 880 E, Salt Lake City, UT 84106 2020-09-04
1033721394 Salt Lake Therapy Collective Counselor 311 S 900 E Ste 103, Salt Lake City, UT 84102-2491 2020-08-18
1083172704 Brooke Pyper Counselor 335 W Bugatti Dr, Salt Lake City, UT 84115-2521 2019-03-12
1881168185 Korilynn Cheatham Bartley Counselor 124 S 400 E Ste 300, Salt Lake City, UT 84111-5307 2019-01-20
1164910089 Gerald Louis Costley Counselor 339 E 3900 S Ste 155, Salt Lake City, UT 84107-1978 2018-04-26
1912412867 Jackson Patrick Collins Counselor 1650 E 6670 S, Salt Lake City, UT 84121-2760 2017-12-13
1891225678 Phil Edward Francis Counselor 4000 S 700 E Ste 9, Salt Lake City, UT 84107-2581 2017-06-14
1063866549 Dustin Palmer Counselor 344 E 100 S # 230, Salt Lake City, UT 84111 2016-04-20
1740642735 Misty Tae Ungricht Counselor 4460 S Highland Dr Ste 2106b, Salt Lake City, UT 84124-3543 2016-03-28
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Competitor

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City SALT LAKE CITY
Zip Code 84102

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Dataset Information

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.

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