MICHELLE BOWMAN (NPI# 1588097380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588097380 |
| Entity Type | Individual |
| Full Name | MICHELLE BOWMAN |
| Credential | MSW, CSW |
| Practice Address |
1258 W South Jordan Pkwy Ste 202 South Jordan UT 84095-4712 |
| Practice Telephone | 8017928556 |
| Mailing Telephone | 8017928556 |
| Enumeration Date | 2013-08-15 |
| Last Update Date | 2013-08-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 7718076-3502 | UT | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912433699 | Michelle Lacy Bowman | Licensed Practical Nurse | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2017-05-02 |
| 1649683392 | Michelle M Bowman | Counselor | 1714 Abbey Rd, Pierre, SD 57501-7805 | 2014-06-10 |
| 1730507864 | Michelle Bowman | Emergency Medicine | 601 W 2nd St, Bloomington, IN 47403-2317 | 2014-04-05 |
| 1467706945 | Michelle Sluszka Bowman | Occupational Therapist | 1830 S Alma School Rd, Mesa, AZ 85210-3056 | 2012-11-05 |
| 1659645331 | Michelle Lee Bowman | Counselor | 344 E 100 S, Salt Lake City, UT 84111-1700 | 2012-02-28 |
| 1699094532 | Michelle Carroll Bowman | Psychiatry & Neurology | 4805 Montgomery Rd Ste 410, Cincinnati, OH 45212-2280 | 2010-05-18 |
| 1609941046 | Michelle R. Bowman | Registered Nurse | 212 Carmen Ln, Santa Maria, CA 93458-7769 | 2006-11-21 |
| Street Address |
1258 W SOUTH JORDAN PKWY STE 202 |
| City | SOUTH JORDAN |
| State | UT |
| Zip Code | 84095-4712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346271798 | Stacy K Robison | Nurse Practitioner | 1258 W South Jordan Pkwy Ste 202, South Jordan, UT 84095-4712 | 2006-07-05 |
| 1083220438 | Amelia Wilcox | Social Worker | 1258 W South Jordan Pkwy Ste 202, South Jordan, UT 84095-4712 | 2020-09-21 |
| 1508481664 | Matthew Connelly | Marriage & Family Therapist | 1258 W South Jordan Pkwy Ste 202, South Jordan, UT 84095-4712 | 2020-06-14 |
| 1871137604 | Thomas Wallace Pincock | Counselor | 1258 W South Jordan Pkwy Ste 202, South Jordan, UT 84095-4712 | 2019-11-05 |
| 1184124992 | Sherstin Fife | Counselor | 1258 W South Jordan Pkwy Ste 202, South Jordan, UT 84095-4712 | 2018-02-19 |
| 1255830022 | Paige Vandersloot | Marriage & Family Therapist | 1258 W South Jordan Pkwy Ste 202, South Jordan, UT 84095-4712 | 2018-02-07 |
| 1407387798 | Leonard Rentfro | Counselor | 1258 W South Jordan Pkwy Ste 202, South Jordan, UT 84095-4712 | 2017-03-27 |
| 1639550924 | Israel Patterson | Counselor | 1258 W South Jordan Pkwy Ste 202, South Jordan, UT 84095-4712 | 2015-06-12 |
| 1760894232 | Alison Dinkelman | Social Worker | 1258 W South Jordan Pkwy Ste 202, South Jordan, UT 84095-4712 | 2014-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033745393 | Beverly Laraine Williams | Social Worker | 11260 S River Heights Drive, South Jordan, UT 84095 | 2020-03-19 |
| 1265902902 | Sarah Richele Kelley | Specialist/Technologist | 10236 Alder Grovey Way, South Jordan, UT 84095 | 2018-11-26 |
| 1326528837 | Kristi Couse | Massage Therapist | 10679 S 2200 W Apt 2, South Jordan, UT 84095 | 2018-08-15 |
| 1821516063 | River Crossing Dental Professional Corporation | Clinic/Center | 12427 South 4000 West, Suite #200, Riverton, UT 84095 | 2017-09-08 |
| 1245755719 | Staci Stout | Dental Hygienist | 3113 W Swiss Pass Cir, South Jordan, UT 84095 | 2017-08-07 |
| 1437698750 | Ryan Sears | Dentist | 10894 So. River Front Parkway, South Jordan, UT 84095 | 2017-02-20 |
| 1366989931 | Ultimate Sports Regenerative Medicine | Chiropractor | 1098 W. South Jordan Pkwy, Suite 101, South Jordan, UT 84095 | 2017-01-20 |
| 1306393889 | Tal Quirl | Optometrist | 3571 W. 10400 S., South Jordan, UT 84095 | 2016-09-01 |
| 1023562667 | Sevon Taroian | Social Worker | 11260 River Heights Drive, South Jordan, UT 84095 | 2016-08-11 |
| 1952762932 | Megan Buckley | Developmental Therapist | 881 Baxter Drive, Ste 100, South Jordan, UT 84095 | 2016-03-17 |
| Find all providers in zip 84095 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104375740 | Healthful Beginnings | Community/Behavioral Health | 4422 W Iron Mountain Dr, South Jordan, UT 84009-7774 | 2016-09-23 |
| 1902232085 | Suncrest Counseling | Community/Behavioral Health | 1258 West South Jordan Parkway, Ste. 202, South Jordan, UT 84095 | 2013-09-19 |
| 1194018143 | Pathways Real Life Recovery | Community/Behavioral Health | 1098 W South Jordan Pkwy, Suite 108, South Jordan, UT 84095-9366 | 2011-05-24 |
| 1316497514 | Michelle Benson, Aprn | Community/Behavioral Health | 1108 W South Jordan Pkwy, Suite B, South Jordan, UT 84095-5504 | 2016-10-11 |
| 1760716658 | Riley Individual, Family, and Marriage Counseling LLC | Community/Behavioral Health | 406 W South Jordan Pkwy, Suite 220b, South Jordan, UT 84095-3965 | 2009-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518571306 | Alliance Counseling Utah | Community/Behavioral Health | 47 W 9000 S Ste 1, Sandy, UT 84070-2043 | 2020-08-31 |
| 1609489939 | The Arise Society | Community/Behavioral Health | 784 S River Ridge Ln, Spanish Fork, UT 84660-4712 | 2020-08-26 |
| 1639789464 | Enduring Connections Counseling Services LLC | Community/Behavioral Health | 4659 S Highland Dr, Salt Lake City, UT 84117-5137 | 2020-08-06 |
| 1841809324 | Mind and Matter Therapy | Community/Behavioral Health | 75 E Fort Union Blvd # 116, Midvale, UT 84047-1531 | 2020-07-30 |
| 1952927410 | Harmony Therapy Center LLC | Community/Behavioral Health | 752 E 1300 N, Pleasant Grove, UT 84062-1995 | 2020-06-22 |
| 1033733001 | Jessica Jo Pllc | Community/Behavioral Health | 3527 S 1200 E, Salt Lake City, UT 84106-2425 | 2020-06-04 |
| 1407479538 | Onwardlife | Community/Behavioral Health | 2998 E 9690 S, Sandy, UT 84092-3542 | 2020-05-23 |
| 1467071407 | Cancer Wellness House, Inc. | Community/Behavioral Health | 59 S 1100 E, Salt Lake City, UT 84102-1508 | 2020-04-09 |
| 1346875382 | Recovery Innovations Inc | Community/Behavioral Health | 2411 S 1070 W Ste A, West Valley City, UT 84119-1569 | 2020-03-10 |
| 1144854944 | Brenna M. Schaffer | Community/Behavioral Health | 950 E 600 S, Heber City, UT 84032-4469 | 2020-03-02 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH JORDAN |
| Zip Code | 84095 |
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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.