SHAELA GLADE (NPI# 1366766750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366766750 |
| Entity Type | Individual |
| Full Name | SHAELA GLADE |
| Credential | MS |
| Practice Address |
663 W 950 S Brigham City UT 84302-3021 |
| Practice Telephone | 4357349449 |
| Mailing Telephone | 4357349449 |
| Enumeration Date | 2010-03-15 |
| Last Update Date | 2019-03-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
276750-6004 | UT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | 1366766750 | 05 |
| Street Address |
663 W 950 S |
| City | BRIGHAM CITY |
| State | UT |
| Zip Code | 84302-3021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386725174 | Kristin Aragon Springer | Counselor | 663 W 950 S, Brigham City, UT 84302-3021 | 2006-10-18 |
| 1609354547 | Michael Richard Nelson | Social Worker | 663 W 950 S, Brigham City, UT 84302 | 2018-08-02 |
| 1982106852 | Joan Rasmussen | Social Worker | 663 W 950 S, Brigham City, UT 84302-3021 | 2018-03-06 |
| 1154859221 | Bryan Kurt Rieben | Social Worker | 663 W 950 S, Brigham City, UT 84302-3021 | 2017-06-01 |
| 1598167488 | Tammy Ellis | Social Worker | 663 W 950 S, Brigham City, UT 84302-3021 | 2014-09-22 |
| 1124420567 | Brian Wigington | Counselor | 663 W 950 S, Brigham City, UT 84302-3021 | 2014-09-17 |
| 1336579358 | Aimee Theurer | Registered Nurse | 663 W 950 S, Brigham City, UT 84302-3021 | 2013-11-13 |
| 1033541578 | Trenna Breann Prete | Student in an Organized Health Care Education/Training Program | 663 W 950 S, Brigham City, UT 84302-3021 | 2013-08-07 |
| 1033460142 | Laura Ann Lamoreaux | Psychologist | 663 W 950 S, Brigham City, UT 84302-3021 | 2012-09-28 |
| 1447501838 | Jelana Fay Herring | Student in an Organized Health Care Education/Training Program | 663 W 950 S, Brigham City, UT 84302-3021 | 2012-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669945531 | Brandon Lee Allen | Counselor | 971 South 800 West, #104, Brigham City, UT 84302 | 2019-01-03 |
| 1104307495 | Tiffany Burnhope | Social Worker | 663 Parker Lane, Brigham City, UT 84302 | 2018-08-24 |
| 1558858464 | Michael Clark | Optometrist | 990 Medical Dr Ste G3, Brigham City, UT 84302 | 2018-04-16 |
| 1497273130 | Emily Marler | Counselor | 862 South Main Suite 4, Brigham City, UT 84302 | 2017-09-01 |
| 1003268731 | Tyler Beckstrand | Social Worker | 125 N Main Street, Brigham City, UT 84302 | 2016-07-06 |
| 1780030155 | Angela Stott | Case Manager/Care Coordinator | 160 E 800 S Apt. B216, Brigham City, UT 84302 | 2016-05-04 |
| 1699156802 | Christopher Jacobson | Family Medicine | 1050 Medical Dr, Brigham City, UT 84302 | 2015-06-12 |
| 1811377765 | Courtney Allred | Counselor | 863 S Main Street Suite 2, Brigham, UT 84302 | 2015-06-05 |
| 1235529579 | Belinda Castro | Counselor | 862 S Main Street Suite 2, Brigham City, UT 84302 | 2015-01-26 |
| 1760871818 | Ambryn Mccallson | Counselor | 862 S. Main, 4, Brigham City, UT 84302 | 2015-01-13 |
| Find all providers in zip 84302 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285975425 | Marnie Marie Bushman | Counselor | 219 W 700 N, Brigham City, UT 84302 | 2013-03-13 |
| 1104147776 | David Winston Allred | Counselor | 82 S 800 W, Brigham City, UT 84302-2400 | 2010-06-17 |
| 1629592951 | Laurin Sondergaard | Counselor | 5 W 200 N, Brigham City, UT 84302-2109 | 2017-07-28 |
| 1124420567 | Brian Wigington | Counselor | 663 W 950 S, Brigham City, UT 84302-3021 | 2014-09-17 |
| 1932525045 | Christian Stettler | Counselor | 862 S Main St, Brigham City, UT 84302-0887 | 2014-03-13 |
| 1407127954 | Jayson Loyd Leming | Counselor | 62 S 950 W, Brigham City, UT 84302-4424 | 2012-01-14 |
| 1679853592 | Katrena Bonds | Counselor | 276 N 200 E, Brigham City, UT 84302-2137 | 2011-08-23 |
| 1255632741 | Jeremy Thornock | Counselor | 663 W Hospital Rd, Brigham City, UT 84302-3021 | 2010-11-15 |
| 1376790345 | Cyndi Tangren | Counselor | 120 N Main St, Brigham City, UT 84302-2118 | 2008-08-21 |
| 1730251828 | John W Arrington | Counselor | 120 N Main St, Brigham City, UT 84302-2118 | 2006-11-14 |
| Find all providers in BRIGHAM CITY | ||||
| City | BRIGHAM CITY |
| Zip Code | 84302 |
Please comment or provide details below to improve the information on SHAELA GLADE.
| 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.