JUSTIN PARK (NPI# 1356867477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356867477 |
| Entity Type | Individual |
| Full Name | JUSTIN PARK |
| Practice Address |
6013 S Redwood Rd Taylorsville UT 84123-5220 |
| Practice Telephone | (801) 255-5131 |
| Practice Fax Number | 8012555131 |
| Mailing Telephone | 8012555131 |
| Mailing Fax Number | 8012555131 |
| Enumeration Date | 2017-08-21 |
| Last Update Date | 2017-08-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225536816 | Justin Joonhyuk Park | Student in an Organized Health Care Education/Training Program | 1044 N Francisco Ave, Gme Office, Chicago, IL 60622-2743 | 2018-01-29 |
| 1780075416 | Justin Park | Student in an Organized Health Care Education/Training Program | 240 E Huron St, Suite 1-200, Chicago, IL 60611-2909 | 2015-02-17 |
| 1265625941 | Justin Park | Orthopaedic Surgery | 1600 Crain Hwy S, Suite 401, Glen Burnie, MD 21061-5577 | 2007-08-25 |
| Street Address |
6013 S REDWOOD RD |
| City | TAYLORSVILLE |
| State | UT |
| Zip Code | 84123-5220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053535500 | Deborah A Price | Social Worker | 6013 S Redwood Rd, Taylorsville, UT 84123-5220 | 2007-04-13 |
| 1033710132 | Braxton Adams | Behavior Technician | 6013 S Redwood Rd, Taylorsville, UT 84123-5220 | 2020-11-04 |
| 1942801048 | Dallin Brown | Behavior Technician | 6013 S Redwood Rd, Taylorsville, UT 84123-5220 | 2020-11-04 |
| 1851992952 | Aleah Cheyenne Trull | Behavior Technician | 6013 S Redwood Rd, Taylorsville, UT 84123-5220 | 2020-11-04 |
| 1114528213 | Savannah Hardinger | Behavior Technician | 6013 S Redwood Rd, Taylorsville, UT 84123-5220 | 2020-11-04 |
| 1578164679 | Tara Jackson | Behavior Technician | 6013 S Redwood Rd, Taylorsville, UT 84123-5220 | 2020-11-04 |
| 1487255584 | Maliyah Whimpey | Behavior Technician | 6013 S Redwood Rd, Taylorsville, UT 84123-5220 | 2020-11-04 |
| 1255932836 | Karri Harris | Behavior Technician | 6013 S Redwood Rd, Taylorsville, UT 84123-5220 | 2020-11-02 |
| 1154922730 | Taylore Clark | Behavior Technician | 6013 S Redwood Rd, Taylorsville, UT 84123-5220 | 2020-11-02 |
| 1891396479 | Anthony Mejia | Behavior Technician | 6013 S Redwood Rd, Taylorsville, UT 84123-5220 | 2020-11-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679186837 | Utah Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 5792 South Redwood Road, Taylorsville, UT 84123 | 2020-08-27 |
| 1164040614 | Mark E Hutchinson | Counselor | 5047 S Galleria Drive, Murray, UT 84123 | 2020-07-10 |
| 1396259321 | Utah Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4082 South Redwood Road, West Valley Road, UT 84123 | 2017-11-29 |
| 1083131890 | Kelli Mcstotts | Counselor | 5689 S. Redwood Road, Taylorsville, UT 84123 | 2017-08-23 |
| 1740706571 | Laura B Ellsworth | Case Manager/Care Coordinator | 5667 So. Redwood Road, 6b, Salt Lake City, UT 84123 | 2017-08-14 |
| 1790214120 | Integrated Autism Therapies | Behavioral Analyst | 5984 S. Susquehanna, Murray, UT 84123 | 2017-06-08 |
| 1083163885 | Michael John Flint | Counselor | 5861 South Redwood Road, #24, Taylorsville, UT 84123 | 2016-09-22 |
| 1548716236 | Andres Ramos | Licensed Psychiatric Technician | 697 West 4170 South, Murray, UT 84123 | 2016-09-01 |
| 1467807040 | Sheryl R Schindler | Counselor | 5770 South 1550 West, Bldg G, Primary Children's Counseling Center, Taylorsville, UT 84123 | 2016-05-02 |
| 1730562141 | Megan Merica Snarr | Dentist | 597 West 5300 South, Murray, UT 84123 | 2015-07-02 |
| Find all providers in zip 84123 | ||||
| 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 |
|---|---|---|---|---|
| 1538714464 | Madison Abele | Counselor | 4179 S Riverboat Rd Ste 220, Taylorsville, UT 84123-2986 | 2019-08-07 |
| 1174063929 | Andrea Elizabeth Sinclair | Counselor | 5770 S 1500 W # B, Taylorsville, UT 84123-5216 | 2017-02-27 |
| 1205243680 | Kumai Kahalepuna | Counselor | 6013 S. Redwood Rd, Taylorsville, UT 84123 | 2014-07-17 |
| 1174930812 | Elizabeth Beckmann | Counselor | 6013 S. Redwood Rd., Taylorsville, UT 84123 | 2014-07-15 |
| 1083024624 | Rustie Chastina Wayne-jones | Counselor | 5485 S 3320 W, Taylorsville, UT 84129-7855 | 2014-05-05 |
| 1750719787 | Jackie Lister | Counselor | 5667 Redwood Rd, Taylorsville, UT 84123 | 2013-10-30 |
| 1104267889 | Linda Akers England | Counselor | 121 E Main Ave, Taylorsville, NC 28681-2514 | 2013-07-10 |
| 1336753961 | Megan Elizabeth Olsen | Counselor | 4179 S Riverboat Rd Ste 220, Taylorsville, UT 84123-2986 | 2020-09-01 |
| 1700445442 | Christina Sly | Counselor | 6013 S Redwood Rd, Taylorsville, UT 84123-5220 | 2019-06-06 |
| 1174181606 | Tyler Henrie | Counselor | 6013 S Redwood Rd, Taylorsville, UT 84123-5220 | 2019-05-30 |
| Find all providers in TAYLORSVILLE | ||||
| City | TAYLORSVILLE |
| Zip Code | 84123 |
Please comment or provide details below to improve the information on JUSTIN PARK.
| 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.