PRIMARY CHILDREN'S CENTER FOR COUNSELING (NPI# 1467601492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467601492 |
| Entity Type | Organization |
| Organization Name | PRIMARY CHILDREN'S CENTER FOR COUNSELING |
| Practice Address |
5770 S 1500 W #g Salt Lake City UT 84123-5216 |
| Practice Telephone | 8012653000 |
| Practice Fax Number | 8012653025 |
| Mailing Telephone | 8012653000 |
| Mailing Fax Number | 8012653025 |
| Enumeration Date | 2008-09-15 |
| Last Update Date | 2008-09-15 |
| Authorized Official Name | PROF. DORANN MITCHELL (DIRECTOR, PCCC) |
| Authorized Official Telephone | 8012653000 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | Y |
| Parent Organization Name | INTERMOUNTAIN HEALTHCARE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 380804-3501 | UT | Agencies |
| Street Address |
5770 S 1500 W #G |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84123-5216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306324967 | Stanton J Porter | Nurse Practitioner | 5770 S 1500 W, Salt Lake City, UT 84123-5216 | 2018-08-04 |
| 1235681511 | Kent Denney | Counselor | 5770 S 1500 W, Salt Lake City, UT 84123-5216 | 2016-11-02 |
| 1912451048 | Natalie Deanne Sergent | Psychologist | 5770 S 1500 W, Salt Lake City, UT 84123-5216 | 2016-08-05 |
| 1841642907 | Shannon Saldana | Pharmacist | 5770 S 1500 W, Salt Lake City, UT 84123-5216 | 2016-07-12 |
| 1104296961 | Brian Miller | Social Worker | 5770 S 1500 W, Salt Lake City, UT 84123-5216 | 2015-10-05 |
| 1205240108 | Jamie Michelle Mortensen | Social Worker | 5770 S 1500 W, Bldg. G, Salt Lake City, UT 84123-5216 | 2014-06-18 |
| 1013253400 | Brian Fitzgerald | Counselor | 5770 S 1500 W, Salt Lake City, UT 84123-5216 | 2012-12-13 |
| 1396098299 | Benjamin Belnap | Psychologist | 5770 S 1500 W, Bldg C, Salt Lake City, UT 84123-5216 | 2012-10-17 |
| 1396044459 | Ann Rousselle | Psychologist | 5770 S 1500 W, Building G, Salt Lake City, UT 84123-5216 | 2011-03-15 |
| 1194840157 | Ihc Health Services Inc | Clinic/Center | 5770 S 1500 W, Bldg C, Salt Lake City, UT 84123-5216 | 2007-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679186837 | Utah Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 5792 South Redwood Road, Taylorsville, UT 84123 | 2020-08-27 |
| 1164040614 | Mark E Hutchinson | Counselor | 5047 S Galleria Drive, Murray, UT 84123 | 2020-07-10 |
| 1396259321 | Utah Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4082 South Redwood Road, West Valley Road, UT 84123 | 2017-11-29 |
| 1083131890 | Kelli Mcstotts | Counselor | 5689 S. Redwood Road, Taylorsville, UT 84123 | 2017-08-23 |
| 1740706571 | Laura B Ellsworth | Case Manager/Care Coordinator | 5667 So. Redwood Road, 6b, Salt Lake City, UT 84123 | 2017-08-14 |
| 1790214120 | Integrated Autism Therapies | Behavioral Analyst | 5984 S. Susquehanna, Murray, UT 84123 | 2017-06-08 |
| 1083163885 | Michael John Flint | Counselor | 5861 South Redwood Road, #24, Taylorsville, UT 84123 | 2016-09-22 |
| 1548716236 | Andres Ramos | Licensed Psychiatric Technician | 697 West 4170 South, Murray, UT 84123 | 2016-09-01 |
| 1467807040 | Sheryl R Schindler | Counselor | 5770 South 1550 West, Bldg G, Primary Children's Counseling Center, Taylorsville, UT 84123 | 2016-05-02 |
| 1730562141 | Megan Merica Snarr | Dentist | 597 West 5300 South, Murray, UT 84123 | 2015-07-02 |
| Find all providers in zip 84123 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639789464 | Enduring Connections Counseling Services LLC | Community/Behavioral Health | 4659 S Highland Dr, Salt Lake City, UT 84117-5137 | 2020-08-06 |
| 1033733001 | Jessica Jo Pllc | Community/Behavioral Health | 3527 S 1200 E, Salt Lake City, UT 84106-2425 | 2020-06-04 |
| 1467071407 | Cancer Wellness House, Inc. | Community/Behavioral Health | 59 S 1100 E, Salt Lake City, UT 84102-1508 | 2020-04-09 |
| 1942859707 | Madre Tierra Counseling & Consulting LLC | Community/Behavioral Health | 3763 S Secord St, Salt Lake City, UT 84115-4771 | 2019-09-05 |
| 1295389708 | Peaceful Solutions Counseling LLC | Community/Behavioral Health | 1399 S 700 E Ste 5, Salt Lake City, UT 84105-2161 | 2019-08-01 |
| 1689139198 | Mmtc | Community/Behavioral Health | 1411 W 1100 N, Salt Lake City, UT 84116-1634 | 2019-02-08 |
| 1891274429 | Crystal Tina Marie Amezquita | Community/Behavioral Health | 1141 E 3900 S Ste A150, Salt Lake City, UT 84124-1215 | 2018-08-14 |
| 1558840611 | Noble Soul Therapy | Community/Behavioral Health | 699 E South Temple # 300a, Salt Lake City, UT 84102-1142 | 2018-08-09 |
| 1932631116 | Mattison Therapeutic Consulting and Counseling | Community/Behavioral Health | 667 E Redondo Ave, Salt Lake City, UT 84105-3028 | 2017-03-28 |
| 1396281218 | Pat Brehl Lcsw LLC | Community/Behavioral Health | 439 E 900 S, Salt Lake City, UT 84111-4303 | 2017-01-17 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84123 |
Please comment or provide details below to improve the information on PRIMARY CHILDREN'S CENTER FOR COUNSELING.
| 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.