BRENT KEELER SHUSTER (NPI# 1417456401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417456401 |
| Entity Type | Individual |
| Full Name | BRENT KEELER SHUSTER |
| Credential | ACMHC |
| Practice Address |
111 E 5600 S Ste 304 Murray UT 84107-8174 |
| Practice Telephone | 8012109443 |
| Mailing Telephone | 8012109443 |
| Enumeration Date | 2018-02-06 |
| Last Update Date | 2020-05-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
11226387-6009 | UT | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 100 N Waukegan Rd Ste 204, Lake Bluff, IL 600441660 | 8722338441 |
| Street Address |
111 E 5600 S STE 304 |
| City | MURRAY |
| State | UT |
| Zip Code | 84107-8174 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578102851 | Connections Counseling Services of Utah, Pllc | Clinic/Center | 111 E 5600 S Ste 304, Murray, UT 84107-8174 | 2020-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410517 | Brielle Nicole Poulter | Student in an Organized Health Care Education/Training Program | 345 East 4500 So #260, Murray, UT 84107 | 2020-09-01 |
| 1467016592 | Ashlee Brown | Social Worker | C-134, 5284 Commerce Drive, Murray, Murray, UT 84107 | 2019-04-24 |
| 1568940633 | Samantha Duff | Occupational Therapist | 5770 S Fashion Blvd, Bldg 5 Ste 201, Murray, UT 84107 | 2018-08-01 |
| 1881185247 | Derek John Sharp | Occupational Therapist | 5770 S Fashion Blvd, Bldg #5, Suite 210, Murray, UT 84107 | 2018-05-22 |
| 1093223091 | Erin Nicole Hill | Counselor | 345 East 4500 South Suite 260, Murray, UT 84107 | 2018-01-12 |
| 1588171219 | Nicole Danielle Jensen | Counselor | 345 East 4500 South, Suite 260, Murray, UT 84107 | 2018-01-03 |
| 1043725799 | Greater Endodontics LLC | Dentist | 5334 South Woodrow Street, Suite 201, Salt Lake City, UT 84107 | 2017-12-04 |
| 1043739667 | Karyn K Hodge | Audiologist | 4500 So. 777. E. Ste #110, Murray, UT 84107 | 2017-09-14 |
| 1912426750 | Brandon C Burton | Specialist/Technologist, Other | Cta Community Supports 4444 S, 700 E Suite 203, Salt Lake City, UT 84107 | 2017-09-13 |
| 1396261152 | Megan Lehane Delano | Plastic Surgery | 5169 Cottonwood St Ste 420, Murray, UT 84107 | 2017-08-14 |
| Find all providers in zip 84107 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932710837 | Amanda Kathleen Blume | Counselor | 84 W 4800 S Ste 100, Murray, UT 84107-3781 | 2020-08-13 |
| 1841808797 | Hayley Adams | Counselor | 6649 S Tripp View Ln, Murray, UT 84123-6637 | 2020-07-16 |
| 1073155529 | Live for Life Aspen, LLC | Counselor | 179 W Winchester St, Murray, UT 84107-7237 | 2019-10-16 |
| 1356983399 | Green Willow Counseling, LLC | Counselor | 5802 S 900 E Ste 9, Murray, UT 84121-1644 | 2019-10-10 |
| 1215591292 | Carolyn Scott | Counselor | 1121 E Vine St, Murray, UT 84121-1735 | 2019-04-25 |
| 1033673900 | Emily Johnson Ott | Counselor | 650 E 4500 S Ste 30, Murray, UT 84107-2900 | 2019-01-25 |
| 1760968192 | Ashley Creer | Counselor | 5818 S 900 E, Murray, UT 84121-1644 | 2018-07-18 |
| 1093223091 | Erin Nicole Hill | Counselor | 345 East 4500 South Suite 260, Murray, UT 84107 | 2018-01-12 |
| 1588171219 | Nicole Danielle Jensen | Counselor | 345 East 4500 South, Suite 260, Murray, UT 84107 | 2018-01-03 |
| 1689115917 | Danyelle Kristin Day | Counselor | 1712 Highway 121 Byp N, Suite I, Murray, KY 42071-8864 | 2017-03-20 |
| Find all providers in MURRAY | ||||
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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.