BLACKRIVER CONSULTING, P.C. (NPI# 1609014000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609014000 |
| Entity Type | Organization |
| Organization Name | BLACKRIVER CONSULTING, P.C. |
| Practice Address |
5801 Fashion Blvd Suite 250 Murray UT 84107-6159 |
| Practice Telephone | 8015960147 |
| Practice Fax Number | 8017164049 |
| Mailing Telephone | 8015960147 |
| Mailing Fax Number | 8017164049 |
| Enumeration Date | 2009-01-23 |
| Last Update Date | 2011-03-09 |
| Authorized Official Name | CHRISTOPHER ALAN ROBERTSON (PRESIDENT) |
| Authorized Official Telephone | 8015960147 |
| Authorized Official Credential | L.C.S.W. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
139307-3501 | UT | Behavioral Health & Social Service Providers |
| Street Address |
5801 FASHION BLVD SUITE 250 |
| City | MURRAY |
| State | UT |
| Zip Code | 84107-6159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366411753 | L. Craig Larsen | Podiatrist | 5801 Fashion Blvd, # 120, Murray, UT 84107-6159 | 2006-03-16 |
| 1710282249 | Neurosync | Specialist | 5801 Fashion Blvd, Ste 120, Murray, UT 84107-6159 | 2011-01-13 |
| 1063685295 | Whitehawk Consulting, P.C. | Psychologist | 5801 Fashion Blvd, Suite 250, Murray, UT 84107-6159 | 2008-04-09 |
| 1912122987 | Tracy Lynn Moler-quayle | Speech-Language Pathologist | 5801 Fashion Blvd, Murray, UT 84107-6159 | 2007-04-16 |
| 1316060916 | Susan C Bennett | Occupational Therapist | 5801 Fashion Blvd, Ste 190, Murray, UT 84107-6159 | 2007-04-09 |
| 1669593612 | Mark Lundgreen Fox | Speech-Language Pathologist | 5801 Fashion Blvd, Ste 190, Murray, UT 84107-6159 | 2007-04-03 |
| 1437270469 | Aida L Martinez | Speech-Language Pathologist | 5801 Fashion Blvd, Ste 190, Murray, UT 84107-6159 | 2007-04-03 |
| 1871615815 | Elizabeth Anne Wolfe | Occupational Therapist | 5801 Fashion Blvd, Murray, UT 84107-6159 | 2007-04-03 |
| 1295857241 | Hope Yukie Jensen | Physical Therapist | 5801 Fashion Blvd, Ste 190, Murray, UT 84107-6159 | 2007-04-03 |
| 1801918859 | Karen Lee Buzanoski | Occupational Therapist | 5801 Fashion Blvd, Ste 175, Murray, UT 84107-6159 | 2007-04-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410517 | Brielle Nicole Poulter | Student in an Organized Health Care Education/Training Program | 345 East 4500 So #260, Murray, UT 84107 | 2020-09-01 |
| 1467016592 | Ashlee Brown | Social Worker | C-134, 5284 Commerce Drive, Murray, Murray, UT 84107 | 2019-04-24 |
| 1568940633 | Samantha Duff | Occupational Therapist | 5770 S Fashion Blvd, Bldg 5 Ste 201, Murray, UT 84107 | 2018-08-01 |
| 1881185247 | Derek John Sharp | Occupational Therapist | 5770 S Fashion Blvd, Bldg #5, Suite 210, Murray, UT 84107 | 2018-05-22 |
| 1093223091 | Erin Nicole Hill | Counselor | 345 East 4500 South Suite 260, Murray, UT 84107 | 2018-01-12 |
| 1588171219 | Nicole Danielle Jensen | Counselor | 345 East 4500 South, Suite 260, Murray, UT 84107 | 2018-01-03 |
| 1043725799 | Greater Endodontics LLC | Dentist | 5334 South Woodrow Street, Suite 201, Salt Lake City, UT 84107 | 2017-12-04 |
| 1043739667 | Karyn K Hodge | Audiologist | 4500 So. 777. E. Ste #110, Murray, UT 84107 | 2017-09-14 |
| 1912426750 | Brandon C Burton | Specialist/Technologist, Other | Cta Community Supports 4444 S, 700 E Suite 203, Salt Lake City, UT 84107 | 2017-09-13 |
| 1396261152 | Megan Lehane Delano | Plastic Surgery | 5169 Cottonwood St Ste 420, Murray, UT 84107 | 2017-08-14 |
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| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043833460 | Mary Elizabeth Andolsek | Social Worker | 5411 S Vine St # 6, Murray, UT 84107-7746 | 2020-05-20 |
| 1215561683 | Rachel Denton | Social Worker | 151 E 5600 S Ste 308, Murray, UT 84107-8102 | 2020-02-25 |
| 1487294252 | Judicial Supervision Services, LLC | Social Worker | 5047 S Galleria Dr, Murray, UT 84123-4695 | 2020-01-09 |
| 1245888593 | Inner Purpose Counseling, LLC | Social Worker | 5802 S 900 E Ste 4, Murray, UT 84121-1644 | 2019-08-29 |
| 1477046662 | Aubree Payne | Social Worker | 348 E 4500 S Ste 360, Murray, UT 84107-3920 | 2018-06-12 |
| 1134616899 | Kaizen Center for Mental Health Pllc | Social Worker | 4055 S 700 E Ste 103, Murray, UT 84107-2508 | 2018-04-18 |
| 1295243251 | Shannon M Hickman | Social Worker | 111 E 5600 S Ste 210, Murray, UT 84107-8160 | 2018-01-11 |
| 1548774896 | Robert M Carboni | Social Worker | 5402 S Willow Ln Apt A, Murray, UT 84107-3403 | 2017-11-24 |
| 1043762420 | Sloane Rampton | Social Worker | 4848 S Commerce Dr, Murray, UT 84107-4761 | 2016-11-01 |
| 1679028765 | Lindy Snell Christensen | Social Worker | 650 E 4500 S Ste 300, Murray, UT 84107-4502 | 2016-08-18 |
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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.