MICHELLE ROBERTSON (NPI# 1508267121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508267121 |
| Entity Type | Individual |
| Full Name | MICHELLE ROBERTSON |
| Credential | CSUDC |
| Practice Address |
7601 S Redwood Rd West Jordan UT 84084-4007 |
| Practice Telephone | 8012338670 |
| Practice Fax Number | 8012338682 |
| Mailing Telephone | 8012338670 |
| Mailing Fax Number | 8012338682 |
| Enumeration Date | 2014-09-15 |
| Last Update Date | 2014-09-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
9153574-6005 | UT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | 1306010574 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568672350 | Michelle Katalin Robertson | Social Worker | 30 Eastbrook Rd Ste 302, Riverside Community Care, Dedham, MA 02026-2084 | 2007-05-23 |
| 1003433798 | Michelle Robertson | Licensed Vocational Nurse | 400 N Tustin Ave Ste 120, Santa Ana, CA 92705-3879 | 2020-06-29 |
| 1154969251 | Michelle Robertson | Dietitian, Registered | 625 E Broadway Ave, Jackson, WY 83001-8642 | 2019-12-19 |
| 1043757271 | Michelle Robertson | Nurse Practitioner | 4301 W Markham St # 520-1, Little Rock, AR 72205-7101 | 2017-01-25 |
| 1780090407 | Michelle A Robertson | Counselor | 190 Overthrust Rd., Evanston, WY 82930-2910 | 2014-07-02 |
| 1023369436 | Michelle L Robertson | Pharmacist | 4100 Lake Otis Pkwy, Suite #200, Anchorage, AK 99508-5229 | 2012-09-25 |
| 1649562067 | Michelle Robertson | Social Worker | 5965 S 900 E, Murray, UT 84121-1720 | 2011-05-03 |
| 1598994766 | Michelle Frisbee Robertson | Speech-Language Pathologist | 245 Cahaba Valley Pkwy Ste 200, Pelham, AL 35124-2217 | 2009-07-09 |
| 1295914430 | Michelle Williams Robertson | Family Medicine | 170 Frelinghuysen Rd, Piscataway, NJ 08854-8020 | 2007-10-24 |
| 1750407011 | Michelle Robertson | Counselor | 9605 Grand River Ave, Detroit, MI 48204-2139 | 2007-03-21 |
| Street Address |
7601 S REDWOOD RD |
| City | WEST JORDAN |
| State | UT |
| Zip Code | 84084-4007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508185059 | Erica Thoen | Social Worker | 7601 S Redwood Rd, Suite # E, West Jordan, UT 84084-4007 | 2010-05-24 |
| 1952914665 | John Wyman | Student in an Organized Health Care Education/Training Program | 7601 S Redwood Rd, West Jordan, UT 84084-4007 | 2020-08-24 |
| 1275158438 | Crystal Gomez | Case Manager/Care Coordinator | 7601 S Redwood Rd, West Jordan, UT 84084-4007 | 2020-06-13 |
| 1033697008 | Tayler Jane Iversen | Social Worker | 7601 S Redwood Rd, West Jordan, UT 84084-4007 | 2018-08-01 |
| 1326534199 | Samuel Thomas Fox | Counselor | 7601 S Redwood Rd, West Jordan, UT 84084-4007 | 2018-07-05 |
| 1942714886 | Stacy Robinson | Rehabilitation Counselor | 7601 S Redwood Rd, West Jordan, UT 84084-4007 | 2017-11-30 |
| 1073051793 | Micky Curtis | Counselor | 7601 S Redwood Rd, Bldg E, West Jordan, UT 84084-4007 | 2017-02-01 |
| 1366985400 | Nicolette Jane Reiss | Student in an Organized Health Care Education/Training Program | 7601 S Redwood Rd, E, West Jordan, UT 84084-4007 | 2016-11-21 |
| 1740649748 | Mary Colby | Social Worker | 7601 S Redwood Rd, Building E, West Jordan, UT 84084-4007 | 2016-02-18 |
| 1104224658 | Shad Scott | Counselor | 7601 S Redwood Rd, West Jordan, UT 84084-4007 | 2014-12-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396351383 | National Vision Inc | Optometrist | 3857 West Campus View Drive, Suite 110, West Jordan, UT 84084 | 2020-09-16 |
| 1386267938 | Parker Brown | Dentist | Jordan Valley Dental, 7452 S Campus Drive, West Jordan, UT 84084 | 2020-05-18 |
| 1952809873 | David D. Allred Counseling & Consulting, LLC | Marriage & Family Therapist | 1365 W Green Hedge Way, West Jordan, UT 84084 | 2018-01-25 |
| 1720514268 | Utah Podiatric Physicians and Surgeons Group LLC | Podiatrist | 7000 S 1561 W, #100, West Jordan, UT 84084 | 2017-05-03 |
| 1245787829 | Josh Sullivan | Social Worker | 7395 S Paddington Rd, West Jordan, UT 84084 | 2016-09-01 |
| 1457752503 | Eaze Bracing | Prosthetic/Orthotic Supplier | 1324 W 7125 S, West Jordan, UT 84084 | 2014-09-09 |
| 1437595030 | Medico Transport System | Ambulance | 7365 S 4570 W, South Jordan, UT 84084 | 2013-05-22 |
| 1659612737 | Lifecare Specialty | Pharmacy | 1646 Sunrise Place Ste B, West Jordan, UT 84084 | 2013-03-14 |
| 1518217942 | Luciane Lopes De Oliveira | Student in an Organized Health Care Education/Training Program | 7601 Redwood Road, West Jordan, UT 84084 | 2012-09-13 |
| 1023368636 | Chelsey Tautkus | Social Worker | 7601 South Redwood Road, Building E, West Jordan, UT 84084 | 2012-09-12 |
| Find all providers in zip 84084 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841855632 | Kathy Rekoutis | Counselor | 1397 W 8660 S, West Jordan, UT 84088-9115 | 2019-05-07 |
| 1316421191 | Danielle Jo Hamilton | Counselor | 7601 S Redwood Rd Bldg F, West Jordan, UT 84084-4007 | 2018-09-18 |
| 1467729327 | Rachel Anne Simmons | Counselor | 7601 Redwood Rd, Bldg. E, West Jordan, UT 84084-4007 | 2011-11-21 |
| 1699076851 | Ann Talley Coburn | Counselor | 7601 South Redwood Rd., Building E, West Jordan, UT 84084 | 2010-11-04 |
| 1114227790 | Miriam Latour | Counselor | 7601 South Redwood Road Bldg B, West Jordan, UT 84084 | 2010-10-28 |
| 1326534199 | Samuel Thomas Fox | Counselor | 7601 S Redwood Rd, West Jordan, UT 84084-4007 | 2018-07-05 |
| 1053717553 | Joseph Criswell | Counselor | 7601 S Redwood Rd, Bldg E, West Jordan, UT 84084-4007 | 2014-11-10 |
| 1700155561 | Gordon Paul Gardner | Counselor | 7601 S Redwood Rd, #e, West Jordan, UT 84084-4007 | 2011-12-23 |
| 1982901005 | Kristi Versteeg | Counselor | 7601 S Redwood Rd, Building E, West Jordan, UT 84084-4007 | 2011-02-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565803 | Nathaniel A Moore | Counselor | 11764 West Aspen Lane, Loa, UT 84747 | 2020-10-09 |
| 1235751587 | Clara Sobral Hinckley | Counselor | 975 S 250 W Apt A, Provo, UT 84601-5991 | 2020-05-09 |
| 1487275855 | Norman Van Bray | Counselor | 260 W North Lane, Holden, UT 84636 | 2020-04-27 |
| 1972133783 | Aspire365, LLC | Counselor | 772 E 8230 S, Sandy, UT 84094-0679 | 2020-01-21 |
| 1851939011 | Shaunell Young | Counselor | 2264 N 2650 E, 2264 N 2650 E, Layton, UT 84040 | 2019-12-18 |
| 1679120729 | Kristen E Tolman | Counselor | 506 Harvest Moon Dr, Pleasant Grove, UT 84062-3663 | 2019-08-23 |
| 1134788060 | Isaac Curtis | Counselor | 523 Heritage Park Blvd Ste 4, Layton, UT 84041-5611 | 2019-06-13 |
| 1689231094 | Chasity Edwards | Counselor | 491 E Riverside Dr Ste 1a, St George, UT 84790-7052 | 2019-05-21 |
| 1740845858 | Debra Drabner | Counselor | 164 E 5900 S Ste A101, Murray, UT 84107-7279 | 2019-05-03 |
| 1770044042 | Allison Howes | Counselor | 146 W 300 S, Bountiful, UT 84010-6250 | 2019-03-28 |
| Find all providers with the same taxonomy | ||||
| City | WEST JORDAN |
| Zip Code | 84084 |
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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.