MR. RAFAEL ANGEL FLORES JR. (NPI# 1619333648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619333648 |
| Entity Type | Individual |
| Full Name | MR. RAFAEL ANGEL FLORES JR. |
| Credential | SUDC |
| Practice Address |
1776 S Main St Salt Lake City UT 84115-1951 |
| Practice Telephone | 8019105892 |
| Mailing Telephone | 8019105892 |
| Enumeration Date | 2016-01-06 |
| Last Update Date | 2016-01-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
6955662-6006 | UT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730698101 | Rafael Flores | Physical Therapy Assistant | 1829 Mulberrywood Ct, Orlando, FL 32818-5823 | 2017-09-28 |
| 1770942757 | Rafael Flores IIi | Pharmacist | 1 Quality Dr, In Patient Pharmacy, Vacaville, CA 95688-9494 | 2016-02-18 |
| 1548556285 | Rafael Flores | Dietitian, Registered | 807 N Cage Blvd, Pharr, TX 78577-3117 | 2011-06-21 |
| 1528381670 | Rafael A Flores | Marriage & Family Therapist | 751 Lombardi Ct Ste B, Santa Rosa, CA 95407-5454 | 2010-03-03 |
| Street Address |
1776 S MAIN ST |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84115-1951 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649408733 | Vista Counseling Services, LLC | Community/Behavioral Health | 1776 S Main St, Salt Lake City, UT 84115-1951 | 2009-06-26 |
| 1871976613 | Jason Utley | Social Worker | 1776 S Main St, Salt Lake City, UT 84115-1951 | 2015-06-29 |
| 1891108312 | Mauri Wilcox | Community/Behavioral Health | 1776 S Main St, Salt Lake City, UT 84115-1951 | 2014-06-03 |
| 1124377940 | Lana C. Royle | Counselor | 1776 S Main St, Salt Lake City, UT 84115-1951 | 2012-09-07 |
| 1023373305 | Matthew Brent Checketts | Social Worker | 1776 S Main St, Salt Lake City, UT 84115-1951 | 2012-07-12 |
| 1578868527 | Jeffrey David Larson | Social Worker | 1776 S Main St, Salt Lake City, UT 84115-1951 | 2011-01-24 |
| 1285939280 | Kimberly A Mckee | Counselor | 1776 S Main St, Salt Lake City, UT 84115-1951 | 2011-01-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396344198 | Shannon Ballinger | Clinic/Center | 1470 400 W, Salt Lake City, UT 84115 | 2020-10-22 |
| 1992346704 | Anicka Inc | Clinic/Center | 3195 South Main St, Ste 260, South Salt Lake, UT 84115 | 2019-10-02 |
| 1083177505 | Vitor Gabriel Giuliani Alcantara Carioca | Specialist/Technologist | 1850 South Campus Drive, Salt Lake City, UT 84115 | 2019-04-11 |
| 1427528371 | Samuel James Leonhart | Behavior Technician | 354 East Coatsville Drive, Salt Lake City, UT 84115 | 2018-12-04 |
| 1093228645 | Eco Pharmacy LLC | Pharmacy | 3702 S State Street Suite 115, South Salt Lake City, UT 84115 | 2017-11-06 |
| 1568973055 | Eco Apothecary LLC | Pharmacy | 3701 S State Street Suite 114, South Salt Lake City, UT 84115 | 2017-10-24 |
| 1548780455 | Kelly Lund | Case Manager/Care Coordinator | 447 W. Bearcat Dr., Salt Lake City, UT 84115 | 2017-06-21 |
| 1104271238 | The Church of Philadelphia Inc. | Community/Behavioral Health | 2358 South Main Street, Salt Lake City, UT 84115 | 2016-04-26 |
| 1710368626 | Jennifer Swanhild Edwards | Counselor | 140 W 2100 S Ste 244, Salt Lake City, UT 84115 | 2015-06-16 |
| 1508247065 | John Mcguire | Health Educator | 1370 S. West Temple, Salt Lake City, UT 84115 | 2015-06-10 |
| Find all providers in zip 84115 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063995538 | Latino Behavioral Health Services | Counselor | 3471 S West Temple, Salt Lake City, UT 84115-4338 | 2018-09-11 |
| 1891299012 | Sherrie Lynn Bolton | Counselor | 2001 S State St # S2-300, Salt Lake City, UT 84190-0001 | 2018-03-21 |
| 1215273529 | Holly H Tanski | Counselor | 5770 S. 1500 W. Bld A, Ihc Wasatch Canyons Campus, Salt Lake City, UT 84119 | 2012-12-14 |
| 1538415138 | Dominic Falsone | Counselor | 3846 Villa Dr, Salt Lake City, UT 84109 | 2012-08-01 |
| 1083976690 | Karen Lenore Stovall | Counselor | 2200 S State St, Salt Lake City, UT 84115-2724 | 2012-06-10 |
| 1407124662 | Daniel Wallace Powell | Counselor | 655 S State St, Salt Lake City, UT 84111-3819 | 2011-12-02 |
| 1902102858 | Annette Milner | Counselor | 2558 S 900 E Ste B, Salt Lake City, UT 84106-2239 | 2011-02-09 |
| 1235434291 | Cody Feda | Counselor | 344 East 100 South, Salt Lake City, UT 84111 | 2011-01-21 |
| 1841593266 | Edward Henry Snoddy | Counselor | 415 W 400 S, Salt Lake City, UT 84101-1135 | 2010-12-07 |
| 1114227766 | Rebecca Jo Breiman | Counselor | 514 Wilson Ave, Salt Lake City, UT 84105-2912 | 2010-10-29 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84115 |
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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.