CANDICE BERG (NPI# 1528624533) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528624533 |
| Entity Type | Individual |
| Full Name | CANDICE BERG |
| Practice Address |
285 W 800 S Roosevelt UT 84066-3707 |
| Mailing Address |
1140 W 500 S Ste 9 Vernal UT 84078-2912 |
| Practice Telephone | 4357256300 |
| Mailing Telephone | 4357896300 |
| Enumeration Date | 2019-05-15 |
| Last Update Date | 2019-05-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
285 W 800 S |
| City | ROOSEVELT |
| State | UT |
| Zip Code | 84066-3707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003999277 | Theresa J Ingram | Social Worker | 285 W 800 S, Roosevelt, UT 84066-3707 | 2006-10-23 |
| 1457983819 | Chet David Stevens | Social Worker | 285 W 800 S, Roosevelt, UT 84066-3707 | 2020-02-04 |
| 1477195303 | Megan D'on Berlin | Social Worker | 285 W 800 S, Roosevelt, UT 84066-3707 | 2019-10-11 |
| 1013577329 | Carrie Anne Wallace | Social Worker | 285 W 800 S, Roosevelt, UT 84066-3707 | 2019-06-18 |
| 1740740232 | Kristin Solomon | Case Manager/Care Coordinator | 285 W 800 S, Roosevelt, UT 84066-3707 | 2019-03-21 |
| 1679030456 | Lindsey Grace Garlick | Case Manager/Care Coordinator | 285 W 800 S, Roosevelt, UT 84066-3707 | 2019-02-27 |
| 1376017905 | Ginger Casper | Peer Specialist | 285 W 800 S, Roosevelt, UT 84066-3707 | 2019-01-16 |
| 1508357294 | Rachel Henrie | Case Manager/Care Coordinator | 285 W 800 S, Roosevelt, UT 84066-3707 | 2018-05-29 |
| 1568966331 | Vincent Louis Reiley | Case Manager/Care Coordinator | 285 W 800 S, Roosevelt, UT 84066-3707 | 2018-03-19 |
| 1437657749 | Susan Denver Betts | Social Worker | 285 W 800 S, Roosevelt, UT 84066-3707 | 2018-02-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477075315 | Annemarie Rousseau | Registered Nurse | 250 West 300 North, Roosevelt, UT 84066 | 2017-07-12 |
| 1780036772 | Drew Gilley | Dentist | 375 E Lagoon St, Roosevelt, Ut 84066, Roosevelt, UT 84066 | 2016-07-01 |
| 1952758039 | Amanda Adams | Massage Therapist | 1151 East Hwy 40, Ballard, UT 84066 | 2016-05-19 |
| 1447624325 | Gregory George Page | Dentist | 209 West 200 North 71-2, Roosevelt, UT 84066 | 2015-11-16 |
| 1659785772 | Becky Ann Birch | Nurse Practitioner | 200 West 350 North, Ste 103, Roosevelt, UT 84066 | 2014-06-17 |
| 1760724280 | Novo Ranch LLC | Residential Treatment Facility, Emotionally Disturbed Children | 3549 W 1000 North, Roosevelt, UT 84066 | 2013-03-22 |
| 1508110040 | Uintah Basin Spine and Disc Center, PC | Rehabilitation Unit | 1151 East Highway 40, Roosevelt, UT 84066 | 2012-11-06 |
| 1184918682 | Alvaro Beltran | Dentist | Ave. Lopez Mateos 171-4, Nogales, SONORA 84066 | 2011-06-02 |
| 1255638367 | Cosme Cantu | Dentist | Blvd. El Greco #45 Int. J-14, Nogales, SONORA 84066 | 2011-02-25 |
| 1740482009 | Northeastern Utah Medical Group | Durable Medical Equipment & Medical Supplies | 210 W 300 N 75 3, Roosevelt, UT 84066 | 2007-05-31 |
| Find all providers in zip 84066 | ||||
| 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 |
|---|---|---|---|---|
| 1073179818 | Christopher Timbrell Oborn | Counselor | 1472 N Page Bench Rd, Roosevelt, UT 84066-9779 | 2019-05-16 |
| 1073968871 | Darrilyn Hogan | Counselor | 5 Norton Dr, Roosevelt, NY 11575-1004 | 2016-04-29 |
| 1205363736 | Preston David Kadleck | Counselor | 285 W 800 S, Roosevelt, UT 84066-3707 | 2017-05-15 |
| 1255784260 | Beverly Berrett | Counselor | 285 W 800 S, Roosevelt, UT 84066-3707 | 2016-07-14 |
| 1285003962 | Michele Catten | Counselor | 285 W 800 S, Roosevelt, UT 84066-3707 | 2015-09-23 |
| 1891121810 | Gayla Mae Reinhardt | Counselor | 285 W 800 S, Roosevelt, UT 84066-3707 | 2013-09-23 |
| 1356611230 | Jason Norman | Counselor | 285 W 800 S, Roosevelt, UT 84066-3707 | 2012-01-09 |
| 1114177318 | Rochelle L Danley | Counselor | 285 W 800 S, Roosevelt, UT 84066-3707 | 2008-09-24 |
| 1588867766 | Jeremy M Patton | Counselor | 285 W 800 S, Roosevelt, UT 84066-3707 | 2007-06-06 |
| 1467669424 | Leslie R Harris | Counselor | 285 W 800 S, Roosevelt, UT 84066-3707 | 2007-05-17 |
| Find all providers in ROOSEVELT | ||||
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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.