DALE MIKESELL (NPI# 1497101596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497101596 |
| Entity Type | Individual |
| Full Name | DALE MIKESELL |
| Practice Address |
757 S Main St Springville UT 84663-2452 |
| Practice Telephone | 8014912270 |
| Mailing Telephone | 8014912270 |
| Enumeration Date | 2016-05-06 |
| Last Update Date | 2016-05-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
757 S MAIN ST |
| City | SPRINGVILLE |
| State | UT |
| Zip Code | 84663-2452 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821510512 | Ethan Crisp | Counselor | 757 S Main St, Springville, UT 84663-2452 | 2017-07-13 |
| 1699296939 | Jesse Stroud | Counselor | 757 S Main St, Springville, UT 84663-2452 | 2017-06-27 |
| 1861944985 | Ivy Academy, Inc Discovery Academy | Psychiatric Residential Treatment Facility | 757 S Main St, Springville, UT 84663-2452 | 2016-10-25 |
| 1164970869 | Redwood Grove Diagnostics & Transitions LLC | Social Worker | 757 S Main St, Springville, UT 84663-2452 | 2016-09-12 |
| 1730538471 | Steve Allred | Counselor | 757 S Main St, Springville, UT 84663-2452 | 2016-06-03 |
| 1891144531 | Kelli Ladig | Counselor | 757 S Main St, Springville, UT 84663-2452 | 2016-06-03 |
| 1033565130 | Joel Perez | Counselor | 757 S Main St, Springville, UT 84663-2452 | 2016-05-06 |
| 1902251986 | Trevor Ross | Counselor | 757 S Main St, Springville, UT 84663-2452 | 2016-04-27 |
| 1588076905 | Josh Marshall | Counselor | 757 S Main St, Springville, UT 84663-2452 | 2014-05-21 |
| 1508278987 | Arlene May | Counselor | 757 S Main St, Springville, UT 84663-2452 | 2014-05-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659900835 | Change Academy At Lake of The Ozarks | Residential Treatment Facility, Emotionally Disturbed Children | 266 South Left Fork Hobble Creek Canyon Road, Springville, UT 84663 | 2020-04-08 |
| 1780215269 | Reboot Centers Hobble Creek | Clinical Neuropsychologist | 1154 Left Fork Hobble Creek Canyon Rd, Springville, UT 84663 | 2020-02-03 |
| 1063053866 | Jesus Lopez | Clinic/Center | 1461 Archmore Loop, Springville, UT 84663 | 2019-10-02 |
| 1689109506 | Cd Pharmacy LLC | Pharmacy | 863 W 450 S, Suite 201, Springville, UT 84663 | 2017-04-28 |
| 1215479225 | Jaydynn Cusworth | Behavior Technician | 692 S 2800 W Unit I 101, Springville, UT 84663 | 2016-11-08 |
| 1245699602 | Pamela Jamison | Speech-Language Pathologist | 1072 Wildflower Way, Springville, UT 84663 | 2016-02-14 |
| 1013397348 | Lindsay Erickson | Counselor | 470 Buckley Ave, Springville, UT 84663 | 2015-06-02 |
| 1790084903 | Grant Lee Murdoch | Counselor | 1102 N 850 W, Springville, UT 84663 | 2011-03-28 |
| 1306148739 | Siuta Sonny Faaootoa | Counselor | 551 North Main Street, Springville, UT 84663 | 2010-11-17 |
| 1891000790 | Christopher David Westover | Social Worker | 716 N 200 E, Springville, UT 84663 | 2010-08-16 |
| Find all providers in zip 84663 | ||||
| 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 |
|---|---|---|---|---|
| 1902456346 | Terry Crosby Shammo | Counselor | 2250 W Center St Bldg 1, Springville, UT 84663-4921 | 2019-09-17 |
| 1033594627 | Ivan Sanchez | Counselor | 330 E 400 S Ste 2, Springville, UT 84663-2082 | 2015-07-23 |
| 1013397348 | Lindsay Erickson | Counselor | 470 Buckley Ave, Springville, UT 84663 | 2015-06-02 |
| 1306148739 | Siuta Sonny Faaootoa | Counselor | 551 North Main Street, Springville, UT 84663 | 2010-11-17 |
| 1396068854 | Monica L. Blume | Counselor | 1220 N Main St Ste 11, Springville, UT 84663-4016 | 2010-03-11 |
| 1992833552 | Kelli Ann Briggs | Counselor | 60 Ridge Top Ln, Springville, AL 35146-7510 | 2007-03-02 |
| 1033725072 | Jenna Howe | Counselor | 27 Franklin St, Springville, NY 14141-1375 | 2020-09-16 |
| 1053937110 | Candice Marie Carroll | Counselor | 2250 W Center St Bldg 1, Springville, UT 84663-4921 | 2020-06-24 |
| 1740806090 | Arlene Loera | Counselor | 2250 W Center St Bldg 1, Springville, UT 84663-4921 | 2020-06-23 |
| 1114543469 | Jacob Robert Chidester | Counselor | 2250 W Center St Bldg 1, Springville, UT 84663-4921 | 2020-06-23 |
| Find all providers in SPRINGVILLE | ||||
| City | SPRINGVILLE |
| Zip Code | 84663 |
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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.