INTERMOUNTAIN COUNSELING CENTER (NPI# 1386299287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386299287 |
| Entity Type | Organization |
| Organization Name | INTERMOUNTAIN COUNSELING CENTER |
| Practice Address |
35 N Main Street Suite 200 B Spring City UT 84662 |
| Mailing Address |
Po Box 334 Moroni UT 84646-0334 |
| Practice Telephone | 4352003182 |
| Mailing Telephone | 4352620891 |
| Enumeration Date | 2019-08-07 |
| Last Update Date | 2019-08-07 |
| Authorized Official Name | KEVIN BAILEY (PRESIDENT) |
| Authorized Official Telephone | 4352620891 |
| Authorized Official Credential | LCMHC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Street Address |
35 N MAIN STREET SUITE 200 B |
| City | SPRING CITY |
| State | UT |
| Zip Code | 84662 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447592241 | Holbrook Therapeutic Services, LLC | Social Worker | 12670 N 6500 E, Spring City, UT 84662 | 2013-03-20 |
| 1578853446 | Kyle Christansen | Counselor | 15620 North 1450 East, Spring City, UT 84662 | 2011-04-13 |
| 1972801777 | Paul Mcgarry | Social Worker | 15620 N. 8500 E., Spring City, UT 84662 | 2011-03-03 |
| 1124310115 | Tyrone Ioane | Counselor | 15620 N. 8500 E., Spring City, UT 84662 | 2011-05-09 |
| 1588956577 | Kameron Jensen | Counselor | 15620 N. 8500 E., Spring City, UT 84662 | 2011-05-09 |
| 1104116078 | Brolin Rosquist | Counselor | 15620 N. 8500 E., Spring City, UT 84662 | 2011-04-13 |
| 1467018143 | Chapman Integrative Health Pllc | Emergency Medicine | 216 S. Main St., Spring City, UT 84662-0039 | 2019-05-17 |
| 1578506291 | Dane M Chapman | Emergency Medicine | 216 S Main St, Spring City, UT 84662-0039 | 2006-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023631454 | Spring City Family Clinic Pllc | Clinic/Center | 126 Lavender St Ste 2, Spring City, TN 37381-5102 | 2020-05-20 |
| 1508495961 | Michelle Holloway | Physical Therapy Assistant | 308 W Wind Ln, Spring City, TN 37381-5780 | 2020-04-07 |
| 1205480761 | Stephen Levi Moffett | Specialist/Technologist | 5199 Wolf Creek Rd., Spring City, TN 37381 | 2019-08-01 |
| 1114491891 | Colleen Kampf | Registered Nurse | 233 Yost Ave, Spring City, PA 19475-1737 | 2019-01-16 |
| 1053805713 | Alexa Viguers | Occupational Therapist | 203 Bethel Rd, Spring City, PA 19475-3201 | 2018-06-17 |
| 1831691740 | Charles Taylor | Behavioral Analyst | 196 Broyles Rd, Spring City, TN 37381-5406 | 2018-03-06 |
| 1881194041 | Malorie Anne Hubert | Behavioral Analyst | 526 New Street, Spring City, PA 19475 | 2018-02-14 |
| 1982110250 | Robin B Sexto | Counselor | 510 Broad Street, Spring City, PA 19475 | 2017-12-21 |
| 1659806800 | Shannon Payne | Registered Nurse | 22130 Rhea County Hwy, Spring City, TN 37381-5243 | 2017-04-25 |
| 1073055539 | Arica Whiteman | Counselor | 245 S Cedar St Apt I126, Spring City, PA 19475-1909 | 2016-11-14 |
| Find all providers in SPRING CITY | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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|---|---|---|---|---|
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| 1144868100 | Vive Care, LLC | Clinic/Center | 120 W 1470 S Ste A, Saint George, UT 84770-6798 | 2019-12-20 |
| 1851939250 | Imagine Counseling Services | Clinic/Center | 5663 S Redwood Rd Unit 2, Taylorsville, UT 84123-5449 | 2019-12-16 |
| 1811548589 | Insaneability | Clinic/Center | 2013 E Fielding Hill Ln, Draper, UT 84020-2505 | 2019-09-24 |
| 1083264907 | Hobble Creek Behavoral Health | Clinic/Center | 1291 Expressway Ln # L, Spanish Fork, UT 84660-1333 | 2019-09-12 |
| 1407403983 | Haven Recovery LLC | Clinic/Center | 1474 W 2100 N, Pleasant Grove, UT 84062-9508 | 2019-08-20 |
| 1710532619 | Solstone, LLC | Clinic/Center | 1353 N 1075 W Ste 204, Farmington, UT 84025-2772 | 2019-08-07 |
| 1275091407 | Taylor and Taylor Consulting | Clinic/Center | 459 N 300 W Ste 13, Kaysville, UT 84037-4204 | 2019-03-06 |
| Find all providers with the same taxonomy | ||||
| City | SPRING CITY |
| Zip Code | 84662 |
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| 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.