PINE FOREST COUNSELING, PLLC (NPI# 1356735237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356735237 |
| Entity Type | Organization |
| Organization Name | PINE FOREST COUNSELING, PLLC |
| Practice Address |
1031 S Bluff St Saint George UT 84770-5206 |
| Practice Telephone | 4353190995 |
| Mailing Telephone | 4353190995 |
| Enumeration Date | 2015-03-27 |
| Last Update Date | 2015-03-27 |
| Authorized Official Name | DYLAN MATSUMORI (PSYCHOLOGIST) |
| Authorized Official Telephone | 4353190995 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
9133425-2501 | UT | Behavioral Health & Social Service Providers |
| Street Address |
1031 S BLUFF ST |
| City | SAINT GEORGE |
| State | UT |
| Zip Code | 84770-5206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710544697 | Paige Marshall Aprn Pllc | Nurse Practitioner | 1031 S Bluff St, Saint George, UT 84770-5206 | 2019-05-25 |
| 1639652332 | Paige Marshall | Nurse Practitioner | 1031 S Bluff St, Saint George, UT 84770-5206 | 2018-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740808500 | Redstone Reference Laboratories Inc | Clinical Medical Laboratory | 556 N Dixie Drive, Suite 2, St George, UT 84770 | 2020-07-08 |
| 1033776315 | Ecko Ashmore | Marriage & Family Therapist | 1173 S. 250 W. Bld 1 Ste 208, St. George, UT 84770 | 2019-05-22 |
| 1740844679 | Amy Darragh | Behavior Technician | 249 E Tabernacle St, Ste 100, St George, UT 84770 | 2019-04-25 |
| 1124598198 | Loren Kyle Gulbranson | Internal Medicine | Dixie Regional Medical Center, 515 South, 300 East, Saint George, UT 84770 | 2018-12-03 |
| 1487150728 | Sound Sleep Medical LLC | Durable Medical Equipment & Medical Supplies | 640 East 700 South Building 2, St. George, UT 84770 | 2018-04-04 |
| 1588162911 | Desert Edge Medical | Family Medicine | 1664 S Dixie Dr Ste D201, St George, UT 84770 | 2018-01-31 |
| 1568981314 | Jeffrey Joseph Peterson | Behavior Technician | 162 N 400 E Ste A-105, St. George, UT 84770 | 2017-09-13 |
| 1992242549 | Zachary Carey | Specialist/Technologist | 1115 W Diamond Valley Dr, Saint George, UT 84770 | 2017-01-20 |
| 1669920427 | Charles Taylor Church | Technician, Other | 474 West 200 East, St. George, UT 84770 | 2016-09-21 |
| 1952755480 | Hollystic Hideaway | Voluntary or Charitable | 1418 W Sunset Blvd. # 2, Saint George, UT 84770 | 2016-04-21 |
| Find all providers in zip 84770 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568074805 | Adam Scalese | Psychologist | 216 W 380 S, American Fork, UT 84003-2976 | 2020-08-18 |
| 1437796836 | Michael Ray Williams | Psychologist | 3319 N University Ave Ste 100, Provo, UT 84604-4447 | 2019-12-04 |
| 1578113510 | Phillip Dale Rash | Psychologist | 1424 W 430 S, Provo, UT 84601-3986 | 2019-09-11 |
| 1174005508 | Cameron Ronald John | Psychologist | 3375 W. Mayflower Way, Suite A, Lehi, UT 84043 | 2018-09-01 |
| 1760929707 | Melissa Kay Jones | Psychologist | 4132 Timpview Dr, Provo, UT 84604-5128 | 2017-01-29 |
| 1780043604 | Brigg Noyes, Phd | Psychologist | 160 S 1000 E Ste 310, Suite 310, Salt Lake City, UT 84102-1474 | 2016-02-19 |
| 1225400203 | Ellen Behrens | Psychologist | 2394 Daybreaker Dr, Park City, UT 84098-5880 | 2015-10-29 |
| 1922478650 | Karen Cone-uemura | Psychologist | 201 S 1460 East, Salt Lake City, UT 84112-9061 | 2015-10-07 |
| 1417332206 | Sarah Knowlton | Psychologist | 242 S 800 W, Orem, UT 84058-5353 | 2015-07-22 |
| 1790181576 | Ronald Chamberlain | Psychologist | 320 East 600 South, St. George, UT 84770 | 2014-11-06 |
| Find all providers with the same taxonomy | ||||
| City | SAINT GEORGE |
| Zip Code | 84770 |
Please comment or provide details below to improve the information on PINE FOREST COUNSELING, PLLC.
| 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.