LDS FAMILY SERVICES (NPI# 1548342553) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548342553 |
| Entity Type | Organization |
| Organization Name | LDS FAMILY SERVICES |
| Other Organization Name | LDS FAMILY SERVICES W VALLEY AGENCY |
| Practice Address |
5698 West Glen Eagle Drive West Valley City UT 84128 |
| Practice Telephone | 8019694181 |
| Practice Fax Number | 8019691291 |
| Mailing Telephone | 8019694181 |
| Mailing Fax Number | 8019691291 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2008-06-06 |
| Authorized Official Name | MR. MARK S GLADE (DIRECTOR) |
| Authorized Official Telephone | 8019694181 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | Y |
| Parent Organization Name | LDS FAMILY SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| LDS Family Services W Valley Agency | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831475615 | Lds Family Services | Community/Behavioral Health | 312 7th Ave W, Springfield, TN 37172-2704 | 2011-10-25 |
| 1659692424 | Lds Family Services | Clinic/Center | 1672 W 700 S, Ste D, Springville, UT 84663-5888 | 2010-06-16 |
| 1437326154 | Lds Family Services | Community/Behavioral Health | 2738 Wales Ct, Thompsons Station, TN 37179-5297 | 2008-05-12 |
| 1033381892 | Lds Family Services | Clinic/Center | 172 Thomas Johnson Drive, Suite 200, Frederick, MD 21702-4404 | 2008-04-01 |
| 1225233828 | Lds Family Services | Clinic/Center | 15501 San Fernando Mission Blvd Ste 302, Mission Hills, CA 91345-1359 | 2007-06-15 |
| 1013122563 | Lds Family Services | Clinic/Center | 1418 Fillmore St, Twin Falls, ID 83301-3380 | 2007-05-10 |
| 1538371216 | Lds Family Services | Community/Behavioral Health | 217 E 87th St Fl 3, New York, NY 10128-3204 | 2007-05-04 |
| 1063630788 | Lds Family Services | Social Worker | 641 S Main St, Snowflake, AZ 85937-5595 | 2007-04-20 |
| 1407072762 | Lds Family Services | Clinic/Center | 550 Congressional Blvd, Suite 125, Carmel, IN 46032-5609 | 2007-04-17 |
| 1740318716 | Lds Family Services | Clinic/Center | 547 Amherst St, Suite 404, Nashua, NH 03063-4000 | 2007-03-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | LDS FAMILY SERVICES | 50 E North Temple 2ww, Salt Lake City, UT 84150 |
| Massachusetts Corporations | LDS FAMILY SERVICES | 50 East North Temple St. #2ww, Salt Lake City, UT 84150 |
| Oklahoma Business Registrations | LDS FAMILY SERVICES | 10 East South Temple #1200, Salt Lake City, UT 84133 |
| Vermont Business Registrations | LDS FAMILY SERVICES | 50 E. North Temple, Salt Lake City, UT 84150 |
| Virginia Business Entities | LDS FAMILY SERVICES OF VIRGINIA | 50 E. North Temple, Salt Lake City, Utah 84150 |
| Indiana Business Entities | LDS FAMILY SERVICES, INC. | 50 E. North Temple, Salt Lake City, UT 84150 |
| Street Address |
5698 WEST GLEN EAGLE DRIVE |
| City | WEST VALLEY CITY |
| State | UT |
| Zip Code | 84128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437572526 | Aimee E Wetzel | Social Worker | 5698 S Glen Eagle Dr, West Valley, UT 84128 | 2014-01-27 |
| 1285903641 | Tu Phan | Pharmacist | 5630 W 4100 South, West Valley City, UT 84128 | 2011-12-14 |
| 1003465725 | Alisa L Harmon | Counselor | Lds Family Services, 5698 Glen Eagle Drive, West Valley City, UT 84128 | 2019-09-05 |
| 1871053199 | Amir Varedi | Student in an Organized Health Care Education/Training Program | 3100 N. Tenaya Way, Graduate Medical Education, Las Vegas, NV 84128-0431 | 2019-03-22 |
| 1417135617 | Tina M Chandler | Dietitian, Registered | 3022 Kapford Dr, West Valley City, UT 84128-1374 | 2008-02-11 |
| 1629415559 | Siuea Pete Kupu | Pharmacist | 3571 S Highlander St, Salt Lake City, UT 84128-2317 | 2013-06-01 |
| 1467731182 | Celia Moleni Ale | Social Worker | 6471 W Newton Farm Dr, West Valley, UT 84128-2408 | 2011-08-11 |
| 1053942466 | Brenda M Woodhouse | Nutritionist | 6104 W Ginny Cir, West Valley, UT 84128-2530 | 2020-02-04 |
| 1245290691 | Rick Hackford | Specialist/Technologist | 6270 W 3705 S, West Valley City, UT 84128-2560 | 2006-03-27 |
| 1124137278 | Frederic M Civish IIi | Family Medicine | 3534 S 6000 W, West Valley, UT 84128-2610 | 2006-08-30 |
| Find all providers in zip 84128 | ||||
| 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 |
|---|---|---|---|---|
| 1528515798 | Christina Jeanne Jeffery Cackler | Counselor | 2830 S Redwood Rd Ste C, West Valley City, UT 84119-2381 | 2016-09-06 |
| 1124326889 | Isabel Medellin | Counselor | 4621 Cape Ridge Ln, West Valley City, UT 84128-5626 | 2011-03-04 |
| 1972801959 | Robert F Hernandez | Counselor | 3185 W 3650 S Apt A, West Valley City, UT 84119-4311 | 2011-03-01 |
| 1972101384 | Anjelica Montesdeoca | Counselor | 2655 S Lake Erie Dr, West Valley City, UT 84120-7350 | 2020-10-16 |
| 1407337116 | Katarina Dushku | Counselor | 5698 W Glen Eagle Dr, West Valley City, UT 84128-4013 | 2018-08-22 |
| 1598245425 | Blake Turner | Counselor | 2621 S 3270 W, West Valley City, UT 84119-1119 | 2018-08-20 |
| 1972017804 | Adrianna Melinda Pahulu | Counselor | 5698 W Glen Eagle Dr, West Valley City, UT 84128-4013 | 2017-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083213383 | Stephanie Heinhold | Counselor | 5934 W Bella Rosa Cv, Herriman, UT 84096-1791 | 2020-10-19 |
| 1780281519 | Sitti Suhardi | Counselor | 2550 S Main St Apt 1307, Salt Lake City, UT 84115-3071 | 2020-10-05 |
| 1487261848 | Jon Nathan Jensen | Counselor | 1025 W 450 N, Provo, UT 84601-2518 | 2020-09-29 |
| 1245846815 | Denielle Renee Johnson | Counselor | 944 N Main, Nephi, UT 84648-1002 | 2020-09-19 |
| 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 |
| 1164040614 | Mark E Hutchinson | Counselor | 5047 S Galleria Drive, Murray, UT 84123 | 2020-07-10 |
| 1053959601 | Mckenzie Morgan | Counselor | 1240 E 100 S Bldg 22 #221, St George, UT 84790-3001 | 2019-12-13 |
| 1255977401 | Emma Diane Farmer | Counselor | 1505 N 1275 E, Layton, UT 84040-8331 | 2019-11-22 |
| 1467096537 | Mindy Jolene Wright | Counselor | 944 N Main St, Nephi, UT 84648-1002 | 2019-11-01 |
| Find all providers with the same taxonomy | ||||
| City | WEST VALLEY CITY |
| Zip Code | 84128 |
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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.