UTAH COUNTY DIVISION OF SUBSTANCE ABUSE (NPI# 1336438639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336438639 |
| Entity Type | Organization |
| Organization Name | UTAH COUNTY DIVISION OF SUBSTANCE ABUSE |
| Other Organization Name | FOOTHILL OUTPATIENT |
| Practice Address |
151 S University Ave Provo UT 84601-4427 |
| Practice Telephone | 8018517114 |
| Mailing Telephone | 8018517114 |
| Enumeration Date | 2011-04-07 |
| Last Update Date | 2011-04-07 |
| Authorized Official Name | MR. BLU RYAN ROBINSON (PRIMARY THERAPIST) |
| Authorized Official Telephone | 8018517114 |
| Authorized Official Credential | LSAC, CPCI |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | UT | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Foothill Outpatient | Other Name - Individual/Organization |
| Street Address |
151 S UNIVERSITY AVE |
| City | PROVO |
| State | UT |
| Zip Code | 84601-4427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881652980 | Joseph K Miner | Preventive Medicine | 151 S University Ave, Suite 2800, Provo, UT 84601-4427 | 2006-05-01 |
| 1033762885 | Camilla Shaffer | Registered Nurse | 151 S University Ave, Provo, UT 84601-4427 | 2019-07-22 |
| 1336792076 | Laurie Deadmond | Registered Nurse | 151 S University Ave, Provo, UT 84601-4427 | 2019-07-22 |
| 1881247872 | Janeen Hamel | Registered Nurse | 151 S University Ave, Provo, UT 84601-4427 | 2019-07-19 |
| 1770136970 | Nurit Bassett | Registered Nurse | 151 S University Ave, Provo, UT 84601-4427 | 2019-07-17 |
| 1306499504 | Cathy Bliss | Registered Nurse | 151 S University Ave, Provo, UT 84601-4427 | 2019-07-17 |
| 1255816617 | Amandalyn Winsor | Case Manager/Care Coordinator | 151 S University Ave, Provo, UT 84601-4427 | 2018-10-01 |
| 1396220893 | Trisha Orton | Case Manager/Care Coordinator | 151 S University Ave, Provo, UT 84601-4427 | 2018-10-01 |
| 1760965396 | Cerissa A Hayhurst | Social Worker | 151 S University Ave, Provo, UT 84601-4427 | 2018-09-10 |
| 1578043246 | Hayley Fox | Social Worker | 151 S University Ave, Provo, UT 84601-4427 | 2018-08-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902378417 | 1 Assist Care of Utah Valley LLC | In Home Supportive Care | 180 N University Avenue, Suite 270, Office 213, Provo, UT 84601 | 2018-12-21 |
| 1346723319 | Mp Dental LLC | Dentist | 777 N. 500 W. #204, Proud, UT 84601 | 2018-09-14 |
| 1326530601 | Madison Paige Nelson | Case Manager/Care Coordinator | 750 N Freedom Blvd., Provo, UT 84601 | 2018-06-03 |
| 1245758861 | Annette Roylance | Case Manager/Care Coordinator | 750 North Freedom Boulevard, Suite 300, Provo, UT 84601 | 2017-09-04 |
| 1912422205 | Alexandra Mcbride | Specialist/Technologist | 35 N 300 W #440, Provo, UT 84601 | 2017-08-07 |
| 1932638293 | Audrey Clara Clifton | Case Manager/Care Coordinator | 750 North Freedom Blvd., Provo, UT 84601 | 2017-06-08 |
| 1528514197 | Joseph Hyrum Lewis | Case Manager/Care Coordinator | 750 Freedom Blvd, Provo, UT 84601 | 2016-09-01 |
| 1629427620 | Walker Clements | Case Manager/Care Coordinator | 750 North Freedom Blvd, Provo, UT 84601 | 2016-06-09 |
| 1447611595 | Robert Shirley | Student in an Organized Health Care Education/Training Program | 750 North 200 West, Provo, Ut 84601., Provo, UT 84601 | 2016-03-17 |
| 1700286283 | Brelynn Downs | Student in an Organized Health Care Education/Training Program | 750 North Freedom Blvde, Provo, UT 84601 | 2014-09-03 |
| Find all providers in zip 84601 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023514817 | Mountain Peak Recovery, LLC | Substance Abuse Rehabilitation Facility | 619 N 500 W Ste 201, Provo, UT 84601-1547 | 2018-04-02 |
| 1144519380 | David Brent Mcquivey | Substance Abuse Rehabilitation Facility | 151 S University Ave # 1500, Provo, UT 84601-4427 | 2011-03-28 |
| 1528171493 | House of Hope | Substance Abuse Rehabilitation Facility | 1726 Buckley Ln, Provo, UT 84606-5031 | 2006-08-16 |
| 1801362116 | Ardu LLC | Substance Abuse Rehabilitation Facility | 1053 W 1020 S, Provo, UT 84601-5656 | 2018-10-15 |
| 1518227545 | Sasha Stanley | Substance Abuse Rehabilitation Facility | 1726 Buckley Ln, Provo, UT 84606-5031 | 2012-05-23 |
| 1356612204 | Teresa Elizabeth Salazar | Substance Abuse Rehabilitation Facility | 1726 Buckley Ln, Provo, UT 84606-5031 | 2012-01-24 |
| 1346376001 | House of Hope | Substance Abuse Rehabilitation Facility | 1726 Buckley Ln, Provo, UT 84606-5031 | 2007-02-26 |
| 1518075134 | House of Hope | Substance Abuse Rehabilitation Facility | 1726 Buckley Ln, Provo, UT 84606-5031 | 2006-08-25 |
| 1750498739 | House of Hope | Substance Abuse Rehabilitation Facility | 1726 Buckley Ln, Provo, UT 84606-5031 | 2006-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013886 | Brc Wellness LLC | Substance Abuse Rehabilitation Facility | 4911 S 900 E Ste B, Salt Lake City, UT 84117-5747 | 2020-11-06 |
| 1891307104 | Steps Recovery Center | Substance Abuse Rehabilitation Facility | 345 E 4500 S # 100-140, Murray, UT 84107-3991 | 2020-08-18 |
| 1104460666 | Active Recovery, LLC | Substance Abuse Rehabilitation Facility | 25 S Main St # 212, Centerville, UT 84014-1840 | 2019-10-28 |
| 1437709441 | Insight Recovery Cedar City, LLC | Substance Abuse Rehabilitation Facility | 1050 W Old Highway 91, Parowan, UT 84761-7725 | 2019-09-12 |
| 1316506470 | Evnsq, LLC | Substance Abuse Rehabilitation Facility | 5162 S Highland Dr, Holladay, UT 84117-7048 | 2019-06-11 |
| 1114584356 | Juniper Canyon Recovery Center for Women, LLC | Substance Abuse Rehabilitation Facility | 520 North Aspen Road, Loa, UT 84747-8474 | 2019-05-23 |
| 1750948030 | Liberty Addiction Recovery Centers LLC | Substance Abuse Rehabilitation Facility | 10458 N 6570 W, Highland, UT 84003-9311 | 2019-05-22 |
| 1235793290 | Mountain Valley Recovery LLC | Substance Abuse Rehabilitation Facility | 9431 N 400 W, Holden, UT 84636 | 2019-04-25 |
| 1346803525 | Brookstone Foundation | Substance Abuse Rehabilitation Facility | 198 N 100 E # 198n100e, St George, UT 84770-2831 | 2019-04-15 |
| 1639649684 | Sterling Recovery | Substance Abuse Rehabilitation Facility | 525 W 465 N Ste 130, Providence, UT 84332-5604 | 2018-12-03 |
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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.