BLAKE TRYTHALL (NPI# 1366873531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366873531 |
| Entity Type | Individual |
| Full Name | BLAKE TRYTHALL |
| Practice Address |
2860 East 19500 North Moroni UT 84646-0461 |
| Practice Telephone | 4354455200 |
| Practice Fax Number | 4354455201 |
| Mailing Telephone | 4354455200 |
| Mailing Fax Number | 4354455201 |
| Enumeration Date | 2013-12-12 |
| Last Update Date | 2013-12-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
UT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | 1235458555 | 05 |
| Street Address |
2860 EAST 19500 NORTH |
| City | MORONI |
| State | UT |
| Zip Code | 84646-0461 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225537707 | Jessica Pay | Counselor | 2860 East 19500 North, Moroni, UT 84646 | 2018-02-09 |
| 1134628613 | Todd Pay | Counselor | 2860 East 19500 North, Moroni, UT 84646 | 2018-02-09 |
| 1861852857 | Kevin Whitesel | Counselor | 2860 East 19500 North, Moroni, UT 84646-0461 | 2016-03-03 |
| 1134591597 | Caleb Rose | Counselor | 2860 East 19500 North, Moroni, UT 84646-0461 | 2015-10-26 |
| 1336523695 | Blue Hills Residential Treatment | Substance Abuse Rehabilitation Facility | 2860 East 19500 North, Moroni, UT 84646-0461 | 2015-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942727029 | Doug Lloyd Hopes | Counselor | 21630 North 1450 East, Morona, UT 84646 | 2017-08-29 |
| 1881002061 | Compass Academy Transitional Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4800 E 17160 N, Moroni, UT 84646 | 2014-07-31 |
| 1932534260 | Matthew Truman Johnson | Substance Abuse Rehabilitation Facility | 2860 E 19500 N, Moroni, UT 84646 | 2013-09-05 |
| 1457611766 | Samuel Paul Wilkey | Substance Abuse Rehabilitation Facility | 21360 N 1450e, Moroni, UT 84646 | 2012-05-21 |
| 1275828949 | Robert Duane Simonson | Social Worker | 4800 East 17160 North, Moroni, UT 84646 | 2011-06-10 |
| 1386950392 | Josh Wilkey | Community Health Worker | 4800 E. 17160 N, Moroni, UT 84646 | 2010-08-27 |
| 1891007886 | Compass Academy | Residential Treatment Facility, Emotionally Disturbed Children | 4800 E. 17160 N., Moroni, UT 84646 | 2010-07-08 |
| 1518906320 | Eileen Keenan Jackson | Family Medicine | 51 E Main St., Moroni, UT 84646 | 2006-06-06 |
| 1386182426 | Richard Newton | Social Worker | 21260 N 1450 E, Moroni, UT 84646 | 2017-02-09 |
| 1346602133 | Shandi Child Michael | Counselor | 21360 North 1450 East, Moroni, UT 84646 | 2016-03-22 |
| Find all providers in zip 84646 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972002368 | Mallory Ware | Counselor | 19500 North 2860 East, Moroni, UT 84646-0461 | 2018-02-12 |
| 1346602133 | Shandi Child Michael | Counselor | 21360 North 1450 East, Moroni, UT 84646 | 2016-03-22 |
| 1184040925 | Trevor Hansen | Counselor | 21260 N. 1450 E., Moroni, UT 84646 | 2014-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750262 | Nathan Haslam | Counselor | 636 E Roosevelt Ave, Salt Lake City, UT 84105-2121 | 2020-11-06 |
| 1962003541 | Allison Lee | Counselor | 565 S Post St, Salt Lake City, UT 84104-1346 | 2020-11-02 |
| 1114526654 | Nancie Ann Silva-dahl | Counselor | 1422 S Barley Dr, Spanish Fork, UT 84660-6105 | 2020-10-24 |
| 1699374439 | Heidemarie Lex | Counselor | 3125 E Kennedy Dr Apt 605, Salt Lake City, UT 84108-2156 | 2020-10-22 |
| 1174138143 | Balance Counseling, Pllc | Counselor | 802 E Bamberger Dr, American Fork, UT 84003-2184 | 2020-09-15 |
| 1184239337 | Dara Larsen | Counselor | 923 S River Rd Ste 204, Saint George, UT 84790-2288 | 2020-09-14 |
| 1851905939 | Brenda Somers | Counselor | 564 Cross St, Ogden, UT 84404-5071 | 2020-09-04 |
| 1477166759 | Utah Infertility Resource Center | Counselor | 1565 E 3300 S, Salt Lake City, UT 84106-3370 | 2020-08-26 |
| 1932710837 | Amanda Kathleen Blume | Counselor | 84 W 4800 S Ste 100, Murray, UT 84107-3781 | 2020-08-13 |
| 1104437623 | Counseling for Success Inc | Counselor | 166 N 300 W Ste 4, St George, UT 84770-2770 | 2020-08-10 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on BLAKE TRYTHALL.
| 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.