COLIN DOUGHERTY (NPI# 1487162665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487162665 |
| Entity Type | Individual |
| Full Name | COLIN DOUGHERTY |
| Practice Address |
4460 S Highland Dr Ste 230 Salt Lake City UT 84124-3550 |
| Practice Telephone | 8889494864 |
| Mailing Telephone | 8889494864 |
| Enumeration Date | 2018-01-22 |
| Last Update Date | 2018-01-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992857379 | Colin M. Dougherty | Emergency Medicine | 4647 Zion Ave, San Diego, CA 92120-2507 | 2007-01-17 |
| Street Address |
4460 S HIGHLAND DR STE 230 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84124-3550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851634968 | Tara Jo Dewitt | Social Worker | 4460 S Highland Dr Ste 230, Salt Lake City, UT 84124-3550 | 2013-03-27 |
| 1033717350 | Andria B Merrill | Case Manager/Care Coordinator | 4460 S Highland Dr Ste 230, Salt Lake City, UT 84124-3550 | 2020-10-09 |
| 1710538293 | Christina Nicole Van Atta | Registered Nurse | 4460 S Highland Dr Ste 230, Salt Lake City, UT 84124-3550 | 2019-09-25 |
| 1760031272 | Alexa Durkes | Community Health Worker | 4460 S Highland Dr Ste 230, Salt Lake City, UT 84124-3550 | 2019-09-06 |
| 1346704970 | Justin Moore | Community Health Worker | 4460 S Highland Dr Ste 230, Salt Lake City, UT 84124-3550 | 2019-01-28 |
| 1578031720 | Brendan Enrique Hernandez | Community Health Worker | 4460 S Highland Dr Ste 230, Salt Lake City, UT 84124-3550 | 2018-11-06 |
| 1770084105 | Ricki (richard) Goodyear Ankers | Counselor | 4460 S Highland Dr Ste 230, Salt Lake City, UT 84124-3550 | 2018-02-21 |
| 1700385390 | Emily Shaw Harris | Student in an Organized Health Care Education/Training Program | 4460 S Highland Dr Ste 230, Salt Lake City, UT 84124-3550 | 2018-02-08 |
| 1831697671 | Brigitte Lee | Registered Nurse | 4460 S Highland Dr Ste 230, Salt Lake City, UT 84124-3550 | 2018-01-26 |
| 1386142586 | Isaac Day Steele | Registered Nurse | 4460 S Highland Dr Ste 230, Salt Lake City, UT 84124-3550 | 2018-01-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487273298 | Shannon Penny Price | Social Worker | 4465 Maybeck Place, Condo C, Millcreek, UT 84124 | 2020-04-11 |
| 1922654367 | Joseph C Melvin Md PC | Colon & Rectal Surgery | 1250 East 3900 South Ste 320, Salt Lake City, UT 84124 | 2019-08-12 |
| 1366923252 | Melanie Stumpf | Counselor | 1141 E 3900, Suite A170, Salt Lake City, UT 84124 | 2018-08-28 |
| 1376033993 | Michelle Flowers | Speech-Language Pathologist | 2120 East 3900 South, Ste 200, Holladay, UT 84124 | 2018-05-18 |
| 1740797257 | Lissa Anne Hutchings | Nurse Practitioner | 1160 E 3900 S Ste 4100, Salt Lake City, UT 84124 | 2018-01-05 |
| 1316465693 | Randy Gines | Counselor | 4460 S Highland Drive # 230, Murray, UT 84124 | 2017-09-06 |
| 1417470717 | Joshua Chandler Spencer | Counselor | 4460 South Highland Dr., 230, Murray, UT 84124 | 2017-07-19 |
| 1659891554 | Marcus Whitney | Counselor | 4460 S Highland Dr. # 230, Murray, UT 84124 | 2017-06-21 |
| 1518496884 | Courtney Nilson | Counselor | 4460 S. Highland Dr. #230, Murray, UT 84124 | 2017-06-08 |
| 1841687126 | Intrafilrx | Preferred Provider Organization | 3920 S 1100 E Ste 210, Salt Lake City, UT 84124 | 2015-04-23 |
| Find all providers in zip 84124 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780281519 | Sitti Suhardi | Counselor | 2550 S Main St Apt 1307, Salt Lake City, UT 84115-3071 | 2020-10-05 |
| 1801400015 | Tyra Mae Vance | Counselor | 3375 S 880 E, Salt Lake City, UT 84106 | 2020-09-04 |
| 1033721394 | Salt Lake Therapy Collective | Counselor | 311 S 900 E Ste 103, Salt Lake City, UT 84102-2491 | 2020-08-18 |
| 1083172704 | Brooke Pyper | Counselor | 335 W Bugatti Dr, Salt Lake City, UT 84115-2521 | 2019-03-12 |
| 1881168185 | Korilynn Cheatham Bartley | Counselor | 124 S 400 E Ste 300, Salt Lake City, UT 84111-5307 | 2019-01-20 |
| 1164910089 | Gerald Louis Costley | Counselor | 339 E 3900 S Ste 155, Salt Lake City, UT 84107-1978 | 2018-04-26 |
| 1912412867 | Jackson Patrick Collins | Counselor | 1650 E 6670 S, Salt Lake City, UT 84121-2760 | 2017-12-13 |
| 1891225678 | Phil Edward Francis | Counselor | 4000 S 700 E Ste 9, Salt Lake City, UT 84107-2581 | 2017-06-14 |
| 1063866549 | Dustin Palmer | Counselor | 344 E 100 S # 230, Salt Lake City, UT 84111 | 2016-04-20 |
| 1740642735 | Misty Tae Ungricht | Counselor | 4460 S Highland Dr Ste 2106b, Salt Lake City, UT 84124-3543 | 2016-03-28 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84124 |
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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.