BROOKE LANGE (NPI# 1346535721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346535721 |
| Entity Type | Individual |
| Full Name | BROOKE LANGE |
| Credential | LAPC |
| Practice Address |
660 S 200 E Suite 308 Salt Lake City UT 84111-3835 |
| Practice Telephone | 8013552846 |
| Practice Fax Number | 8013593244 |
| Mailing Telephone | 8013552846 |
| Mailing Fax Number | 8013593244 |
| Enumeration Date | 2011-06-14 |
| Last Update Date | 2011-06-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
7795039-6009 | UT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477105534 | Brooke Lange | Occupational Therapist | 209 Ash St E, Annandale, MN 55302-3148 | 2019-07-09 |
| 1093103038 | Brooke A Lange | Physician Assistant | 830 W High St Ste 360, Lima, OH 45801-3985 | 2014-12-29 |
| Street Address |
660 S 200 E SUITE 308 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84111-3835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124089628 | Tamarah Leigh Barrow | Counselor | 660 S 200 E, Salt Lake City, UT 84111-3853 | 2006-04-01 |
| 1548762990 | Edwin Winkworth IIi | Counselor | 660 S 200 E, Salt Lake City, UT 84111-3835 | 2018-03-01 |
| 1609374404 | Jennifer Bethers | Physical Therapy Assistant | 660 S 200 E, Salt Lake City, UT 84111-3835 | 2018-01-26 |
| 1154836567 | Lee Smitherman | Social Worker | 660 S 200 E, Salt Lake City, UT 84111-3835 | 2017-12-07 |
| 1285155432 | Jordon Palmer | Social Worker | 660 S 200 E, Salt Lake City, UT 84111-3835 | 2017-06-28 |
| 1891248936 | Sacred Circle Healthcare | Clinic/Center | 660 S 200 E, Ste 250, Salt Lake City, UT 84111-3835 | 2016-07-25 |
| 1194189233 | Confederated Tribes of The Goshute Reservation | Clinic/Center | 660 S 200 E, Suite 250, Salt Lake City, UT 84111-3835 | 2016-04-05 |
| 1467811562 | Confederated Tribes of The Goshute Reservation | Pharmacy | 660 S 200 E, Salt Lake City, UT 84111-3835 | 2016-02-17 |
| 1326420217 | Carmelo O Diaz | Physician Assistant | 660 S 200 E, Ste 250, Salt Lake City, UT 84111-3835 | 2015-06-26 |
| 1245676972 | Danny W Carter | Pharmacist | 660 S 200 E, Suite 250, Salt Lake City, UT 84111-3835 | 2013-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316551336 | Mary Ann Rush | Case Manager/Care Coordinator | 334 E. 100 S., Slc, UT 84111 | 2020-09-08 |
| 1790396554 | Stephanie G Mishenko | Military Health Care Provider | 344e 100s, Slc, UT 84111 | 2020-08-13 |
| 1386264802 | Mckensee M Carter | Case Manager/Care Coordinator | 334 E 100 S, Salt Lake City, UT 84111 | 2020-04-24 |
| 1316421761 | Community Health Centers, Inc. | Social Worker | 610 S 200 E Ste #b, Salt Lake City, UT 84111 | 2018-09-21 |
| 1528545506 | Lauren Brittney Harman | Case Manager/Care Coordinator | 344 E. 100 S., Salt Lake City, UT 84111 | 2018-07-23 |
| 1851896484 | Shivani Chowdhary | Dentist | 370 E South Temple Ste 350, Salt Lake City, UT 84111 | 2018-03-26 |
| 1801390661 | Jaylee Marie Watman | Case Manager/Care Coordinator | 344 E. 100 S. Ste 301, Salt Lake City, UT 84111 | 2018-03-19 |
| 1467963918 | Victoira Julia Graham | Case Management | 344 East 100 South Ste 301, Salt Lake City, UT 84111 | 2017-10-23 |
| 1750805404 | Kayla Hymas | Behavioral Analyst | 243 E. 400 S., Slc, UT 84111 | 2017-08-02 |
| 1134643224 | Julie Peaslee | Counselor | 275 E South Temple Ste 110, Salt Lake City, UT 84111 | 2017-07-31 |
| Find all providers in zip 84111 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902368640 | Jennifer Elizabeth | Counselor | 1583 S 1600 E, Salt Lake City, UT 84105-2829 | 2019-04-02 |
| 1487114138 | Kara Kristine Groicher | Counselor | 525 E 100 S Ste 320, Salt Lake City, UT 84102-4210 | 2019-03-20 |
| 1649644428 | Naomia Bell | Counselor | 5965 S 900 E Ste 430, Salt Lake City, UT 84121-1720 | 2015-11-17 |
| 1033506464 | Maikel Hernandez | Counselor | 207 E Williams Ave, Salt Lake City, UT 84111-4625 | 2015-04-23 |
| 1619242062 | Martin Lynn Macdonald | Counselor | 2872 S. Highland Drive, Touchstone Therapy Center, Salt Lake City, UT 84106 | 2012-03-19 |
| 1447522297 | Ivana Juarez | Counselor | 570 N 200 W, Apt 9, Salt Lake City, UT 84103-1334 | 2012-02-08 |
| 1891085346 | Randall Ann Smith | Counselor | 160 S 600 E, #300, Salt Lake City, UT 84102-1962 | 2011-04-17 |
| 1497054829 | Alyson R Ainscough | Counselor | 2549 Melbourne St, Salt Lake City, UT 84106-4003 | 2011-03-24 |
| 1144527243 | Crystal Nicole Garduno | Counselor | 1522 South 1100 East, Salt Lake City, UT 84105 | 2011-02-25 |
| 1215242003 | Edward Paul France | Counselor | 125 W Burton Ave, Salt Lake City, UT 84115-2610 | 2010-08-17 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84111 |
Please comment or provide details below to improve the information on BROOKE LANGE.
| 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.