SHANNON RICKS (NPI# 1447761291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447761291 |
| Entity Type | Individual |
| Full Name | SHANNON RICKS |
| Credential | LMFT |
| Practice Address |
1790 N State St Orem UT 84057-2025 |
| Practice Telephone | 8012248255 |
| Practice Fax Number | 8012248301 |
| Mailing Telephone | 8012248255 |
| Mailing Fax Number | 8012248301 |
| Enumeration Date | 2017-10-19 |
| Last Update Date | 2017-10-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 8358035-3902 | UT | Behavioral Health & Social Service Providers |
| Street Address |
1790 N STATE ST |
| City | OREM |
| State | UT |
| Zip Code | 84057-2025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184689580 | Uhs of Timpanogos, Inc | Psychiatric Hospital | 1790 N State St, Orem, UT 84057-2025 | 2006-04-19 |
| 1720697766 | Angela Kurle | Counselor | 1790 N State St, Orem, UT 84057-2025 | 2020-07-27 |
| 1295357358 | Nicole Nuga | Social Worker | 1790 N State St, Orem, UT 84057-2025 | 2020-05-12 |
| 1366008922 | Crystal Norton | Registered Nurse | 1790 N State St, Orem, UT 84057-2025 | 2019-05-18 |
| 1720568942 | Ashley Taylor Wells | Social Worker | 1790 N State St, Orem, UT 84057-2025 | 2018-08-16 |
| 1124504915 | Heather Marie Dangerfield | Nurse Practitioner | 1790 N State St, Orem, UT 84057-2025 | 2018-07-14 |
| 1063923357 | Christopher Wallace | Marriage & Family Therapist | 1790 N State St, Orem, UT 84057-2025 | 2017-10-13 |
| 1992176564 | Melissa Doty | Social Worker | 1790 N State St, Orem, UT 84057-2025 | 2015-10-08 |
| 1609247287 | Rebecca Boyd | Marriage & Family Therapist | 1790 N State St, Orem, UT 84057-2025 | 2015-10-08 |
| 1891191664 | Jaqueline Neid | Dietitian, Registered | 1790 N State St, Orem, UT 84057-2025 | 2014-11-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013529932 | Jessica Chang | Social Worker | 870 W, Center, UT 84057 | 2020-08-21 |
| 1750991402 | Dr. Alexander B. Larsen Dds | Dentist | 385 W. Center Street, Orem, UT 84057 | 2020-08-07 |
| 1750911996 | Joanna Ramirez | Behavioral Analyst | 1443 West 800 North #103, Orem, UT 84057 | 2020-01-15 |
| 1790321842 | Nicole Rose Mcdougal | Speech-Language Pathologist | 527 400 N, Ste 2, Orem, UT 84057 | 2019-11-25 |
| 1871151837 | Robert B Fujiki | Speech-Language Pathologist | 1935 N90 W, Orem, UT 84057 | 2019-06-04 |
| 1669965562 | Brian Quigley Inc. | Hearing Instrument Specialist | 895 West Center Street, Orem, UT 84057 | 2018-06-14 |
| 1568960250 | Catherine Collins | Nurse Practitioner | 700 W. 800 N., Suite 220, Orem, UT 84057 | 2018-01-27 |
| 1821596073 | Venice Lucia Wilkes | Physician Assistant | 700 W 800 N # 220, Orem, UT 84057 | 2018-01-23 |
| 1851811160 | Jessie Carlson | Behavior Technician | 475 West 260 North, Orem, UT 84057 | 2017-06-27 |
| 1588013890 | Li Ping Su | Marriage & Family Therapist | 1027 W 1033 N, S108, Orem, UT 84057 | 2016-06-07 |
| Find all providers in zip 84057 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922639186 | Brent Esplin | Marriage & Family Therapist | 626 N 1170 E, Orem, UT 84097-4430 | 2020-01-27 |
| 1588214811 | Pedro L Perez | Marriage & Family Therapist | 1141 N 1125 W, Orem, UT 84057-2882 | 2019-09-18 |
| 1871008938 | Terri L Moser | Marriage & Family Therapist | 1143 W Center St, Orem, UT 84057-5207 | 2017-12-11 |
| 1043752181 | Taylor Madsen | Marriage & Family Therapist | 648 N Bella Vista Dr, Orem, UT 84097-5430 | 2016-11-07 |
| 1487109211 | Cristiana Rodriguez | Marriage & Family Therapist | 1044 W 570 N, Orem, UT 84057-3576 | 2016-08-22 |
| 1588013890 | Li Ping Su | Marriage & Family Therapist | 1027 W 1033 N, S108, Orem, UT 84057 | 2016-06-07 |
| 1770947657 | Alex Jay Pratt | Marriage & Family Therapist | 1330 S 740 E, Orem, UT 84097-8081 | 2016-04-07 |
| 1457712713 | Elizabeth Collings | Marriage & Family Therapist | 776 S 600 W, Orem, UT 84058-6019 | 2016-03-15 |
| 1871998815 | Starla Leann Olson | Marriage & Family Therapist | 1450 E 820 N, Orem, UT 84097-5481 | 2014-11-04 |
| 1710326251 | Austin C Haacke | Marriage & Family Therapist | 1406 S Carterville Rd, Orem, UT 84097-7239 | 2013-06-18 |
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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.