MR. JUSTIN DEAN JENSEN (NPI# 1407158835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407158835 |
| Entity Type | Individual |
| Full Name | MR. JUSTIN DEAN JENSEN |
| Practice Address |
82 S 800 W Brigham City UT 84302-2400 |
| Mailing Address |
Po Box 526 Brigham City UT 84302-0526 |
| Practice Telephone | 4355385061 |
| Mailing Telephone | 4355385061 |
| Enumeration Date | 2010-11-17 |
| Last Update Date | 2011-02-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3245S0500X |
Substance Abuse Rehabilitation Facility Specialization: Substance Abuse Treatment, Children |
Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013224104 | Justin Jensen | Foster Care Agency | 862 S Main St Ste 4, Brigham City, UT 84302-3389 | 2010-09-10 |
| 1457502437 | Justin David Jensen | Residential Treatment Facility, Emotionally Disturbed Children | 714 W Main St, Grass Valley, CA 95945-6410 | 2008-10-08 |
| Street Address |
82 S 800 W |
| City | BRIGHAM CITY |
| State | UT |
| Zip Code | 84302-2400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104147776 | David Winston Allred | Counselor | 82 S 800 W, Brigham City, UT 84302-2400 | 2010-06-17 |
| 1194382895 | Benjamin Blake Corbridge | Community Health Worker | 82 S 800 W, Brigham City, UT 84302-2400 | 2019-05-29 |
| 1689230609 | Nicholas Moyle | Community Health Worker | 82 S 800 W, Brigham City, UT 84302-2400 | 2019-05-15 |
| 1295206654 | Arissa Kathlyn Bartz | Community Health Worker | 82 S 800 W, Brigham City, UT 84302-2400 | 2018-12-11 |
| 1053882787 | David Allen James | Community Health Worker | 82 S 800 W, Brigham City, UT 84302-2400 | 2018-12-06 |
| 1962985507 | Nicholas Rodriguez | Community Health Worker | 82 S 800 W, Brigham City, UT 84302-2400 | 2018-09-10 |
| 1679051767 | Elizabeth Short | Community Health Worker | 82 S 800 W, Brigham City, UT 84302-2400 | 2018-08-01 |
| 1225521115 | Richard John Bartz | Community Health Worker | 82 S 800 W, Brigham City, UT 84302-2400 | 2018-06-14 |
| 1285127167 | Shana Irene Zogg | Community Health Worker | 82 S 800 W, Brigham City, UT 84302-2400 | 2018-06-14 |
| 1881187920 | Charlotte Ann Brailsford | Community Health Worker | 82 S 800 W, Brigham City, UT 84302-2400 | 2018-06-13 |
| 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 | 3245S0500X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| Specialization | Substance Abuse Treatment, Children |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154641926 | Triumph Youth Services | Substance Abuse Rehabilitation Facility | 58 S 950 W, Brigham City, UT 84302-4424 | 2010-06-03 |
| 1922323203 | Catalyst Residential Treatment | Substance Abuse Rehabilitation Facility | 970 S 1025 W, Brigham City, UT 84302-6711 | 2010-03-30 |
| 1164766077 | Apex Youth Services | Substance Abuse Rehabilitation Facility | 82 S 800 W, Brigham City, UT 84302-2400 | 2012-11-15 |
| 1356661110 | Triumph Youth Services, LLC | Substance Abuse Rehabilitation Facility | 62 S 950 W, Brigham City, UT 84302-4424 | 2010-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952790099 | Lorraine Michelle Ivey | Substance Abuse Rehabilitation Facility | 115 N 200 E, Washington, UT 84780-1642 | 2015-01-13 |
| 1912328576 | Heather Jenkins | Substance Abuse Rehabilitation Facility | 6200 South 3809 West, Kearns, UT 84129 | 2013-12-30 |
| 1477819878 | Mt Pleasant Campus | Substance Abuse Rehabilitation Facility | 1170 South 70 West, Mt. Pleasant, UT 84647 | 2012-04-10 |
| 1821382318 | Terri Butcher | Substance Abuse Rehabilitation Facility | 66 North 180 West, Ephriam, UT 84627-1111 | 2011-06-02 |
| 1003014648 | Eagle Ranch Academy | Substance Abuse Rehabilitation Facility | 115 W 1470 S, St George, UT 84770-6763 | 2007-07-05 |
| 1780782508 | Northstar Youth Academy LLC | Substance Abuse Rehabilitation Facility | 900 Columbia Ln, Provo, UT 84604-1320 | 2006-09-20 |
| 1083073985 | Eric Peter Rydzewski | Substance Abuse Rehabilitation Facility | 344 E 100 S, Suite 301, Salt Lake City, UT 84111-1700 | 2016-02-19 |
| 1639565260 | Salt Creek Addiction Recovery Services | Substance Abuse Rehabilitation Facility | 21360 N 1450 E, Moroni, UT 84646 | 2015-04-10 |
| 1396169728 | Apex Youth Services | Substance Abuse Rehabilitation Facility | 8606 N 11600 W, Thatcher, UT 84337-9103 | 2014-02-05 |
| 1548500614 | Falcon Ridge Ranch Non Profit Organization | Substance Abuse Rehabilitation Facility | 633 E Hwy 9, Virgin, UT 84779 | 2013-02-26 |
| Find all providers with the same taxonomy | ||||
| City | BRIGHAM CITY |
| Zip Code | 84302 |
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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.