CORNER CANYON RECOVERY, LLC (NPI# 1558876961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558876961 |
| Entity Type | Organization |
| Organization Name | CORNER CANYON RECOVERY, LLC |
| Practice Address |
1450 E Pioneer Rd Draper UT 84020 |
| Mailing Address |
1450 E Pioneer Rd Draper UT 84020-9618 |
| Practice Telephone | 8019941849 |
| Practice Fax Number | 8013840820 |
| Mailing Telephone | 8019941849 |
| Mailing Fax Number | 8013840820 |
| Enumeration Date | 2017-12-07 |
| Last Update Date | 2020-05-08 |
| Authorized Official Name | MR. BRADLEY RANDALL CHRISTENSEN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8019941849 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | 51329 | UT | Ambulatory Health Care Facilities |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
51329 | UT | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
51329 | UT | Behavioral Health & Social Service Providers |
| N | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
51329 | UT | Behavioral Health & Social Service Providers |
| N | 103TC1900X |
Psychologist Specialization: Counseling |
51329 | UT | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
51329 | UT | Behavioral Health & Social Service Providers |
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
51329 | UT | Ambulatory Health Care Facilities |
| N | 106H00000X | Marriage & Family Therapist | 51329 | UT | Behavioral Health & Social Service Providers |
| N | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
51329 | UT | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
51329 | UT | Allopathic & Osteopathic Physicians |
| N | 363A00000X | Physician Assistant | 51329 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
51329 | UT | Allopathic & Osteopathic Physicians |
| N | 225800000X | Recreation Therapist | 51329 | UT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225C00000X | Rehabilitation Counselor | 51329 | UT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 51329 | UT | Residential Treatment Facilities |
| Street Address |
1450 E PIONEER RD |
| City | DRAPER |
| State | UT |
| Zip Code | 84020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194322776 | Chase Larsen Dmd Pllc | Dentist | 723 E 12200 S, Draper, UT 84020 | 2020-10-06 |
| 1780222380 | Derek Cragun | Counselor | 11706 700 E, Draper, UT 84020 | 2019-12-13 |
| 1720629371 | Own My Health Medical | Clinic/Center | 12371 900 E, Suite 102, Draper, UT 84020 | 2019-10-04 |
| 1508418856 | Thomas Mifflin | Physician Assistant | 721 East 12200 South, Draper, UT 84020 | 2019-07-16 |
| 1124670872 | Necia Dalley | Registered Nurse | 11800 S State St, Draper, UT 84020 | 2019-07-12 |
| 1285100784 | Tracey M Williams | Psychologist | 13200 S 1601 E, Draper, UT 84020 | 2018-10-23 |
| 1275008328 | Amoni Paeahelotu Finau | Community Health Worker | 13703 Wheatfield Way, Draper, UT 84020 | 2018-10-04 |
| 1891275525 | Cynthia Mae Bolton | Psychologist | 1192 E Draper Parkway # 447, Draper, UT 84020 | 2018-08-21 |
| 1164908026 | Headin' Home Inc. | Community/Behavioral Health | 12300 S. 150 W., Draper, UT 84020 | 2018-07-13 |
| 1366932576 | Forest Hulet | Dentist | 219 E 12300, Ste I-5, Draper, UT 84020 | 2018-05-14 |
| Find all providers in zip 84020 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215443940 | Pure Life Recovery | Substance Abuse Rehabilitation Facility | 14218 S Canyon Vine Cv, Draper, UT 84020-5631 | 2017-12-18 |
| 1730635558 | Steps Recovery Center Draper | Substance Abuse Rehabilitation Facility | 272 E 12200 S Ste 200, Draper, UT 84020-7833 | 2016-08-31 |
| 1477008498 | Healing Science Retreat LLC | Substance Abuse Rehabilitation Facility | 12231 S 1950 E, Draper, UT 84020-9671 | 2016-08-19 |
| 1245680206 | Paradigm Recovery Center | Substance Abuse Rehabilitation Facility | 12997 S Summerharvest Dr, Draper, UT 84020-9355 | 2016-06-20 |
| 1912393000 | Crystal Recovery | Substance Abuse Rehabilitation Facility | 12894 S Ellerbeck Ln, Draper, UT 84020-7127 | 2015-04-15 |
| 1821473224 | Deer Hollow Recovery | Substance Abuse Rehabilitation Facility | 1481 E Pioneer Rd, Draper, UT 84020-9623 | 2015-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013886 | Brc Wellness LLC | Substance Abuse Rehabilitation Facility | 4911 S 900 E Ste B, Salt Lake City, UT 84117-5747 | 2020-11-06 |
| 1891307104 | Steps Recovery Center | Substance Abuse Rehabilitation Facility | 345 E 4500 S # 100-140, Murray, UT 84107-3991 | 2020-08-18 |
| 1104460666 | Active Recovery, LLC | Substance Abuse Rehabilitation Facility | 25 S Main St # 212, Centerville, UT 84014-1840 | 2019-10-28 |
| 1437709441 | Insight Recovery Cedar City, LLC | Substance Abuse Rehabilitation Facility | 1050 W Old Highway 91, Parowan, UT 84761-7725 | 2019-09-12 |
| 1316506470 | Evnsq, LLC | Substance Abuse Rehabilitation Facility | 5162 S Highland Dr, Holladay, UT 84117-7048 | 2019-06-11 |
| 1114584356 | Juniper Canyon Recovery Center for Women, LLC | Substance Abuse Rehabilitation Facility | 520 North Aspen Road, Loa, UT 84747-8474 | 2019-05-23 |
| 1750948030 | Liberty Addiction Recovery Centers LLC | Substance Abuse Rehabilitation Facility | 10458 N 6570 W, Highland, UT 84003-9311 | 2019-05-22 |
| 1235793290 | Mountain Valley Recovery LLC | Substance Abuse Rehabilitation Facility | 9431 N 400 W, Holden, UT 84636 | 2019-04-25 |
| 1346803525 | Brookstone Foundation | Substance Abuse Rehabilitation Facility | 198 N 100 E # 198n100e, St George, UT 84770-2831 | 2019-04-15 |
| 1639649684 | Sterling Recovery | Substance Abuse Rehabilitation Facility | 525 W 465 N Ste 130, Providence, UT 84332-5604 | 2018-12-03 |
| Find all providers with the same taxonomy | ||||
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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.