MS. STEFANIE MINEN (NPI# 1629201207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629201207 |
| Entity Type | Individual |
| Full Name | MS. STEFANIE MINEN |
| Credential | L.P.C. |
| Practice Address |
525 E 100 S Ste 120 Salt Lake City UT 84102-2070 |
| Mailing Address |
Po Box 520496 Salt Lake City UT 84152-0496 |
| Practice Telephone | 8014832447 |
| Practice Fax Number | 8014868705 |
| Mailing Telephone | 8019184432 |
| Enumeration Date | 2009-08-28 |
| Last Update Date | 2010-08-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | 7690381-6004 | UT | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
7690361-6004 | UT | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
7690361-6004 | UT | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
7690361-6004 | UT | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | 7690361-6004 | UT | Behavioral Health & Social Service Providers |
| Street Address |
525 E 100 S STE 120 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84102-2070 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730122318 | Paul M Stratton | Psychologist | 525 E 100 S Ste 120, Salt Lake City, UT 84102-2070 | 2006-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942818604 | Wendy Vazquez | Behavior Technician | 515 S 700 E Suit 2a, Salt Lake City, UT 84102 | 2020-07-20 |
| 1407481245 | Odyssey House Inc | Family Medicine | 743 E 300 S, Salt Lake City, UT 84102 | 2020-03-11 |
| 1093359960 | Hayle Mayer | Behavior Technician | 515 S 700 E Salt Lake City, Suite 2a, Salt Lake, UT 84102 | 2019-11-04 |
| 1326680869 | Ronald Mcdonald House of The Intermountain Area | Meals | 935 E. South Temple, Salt Lake City, UT 84102 | 2019-10-16 |
| 1508419581 | Claire Pemberton | Behavior Technician | 327 E 1300 S, Apt 2, Salt Lake City, UT 84102 | 2019-07-19 |
| 1558923144 | Olivia Anne Hardwick | Social Worker | Transitions At Slrmc, 86 S. 1100 E. Suite 404, Salt Lake City, UT 84102 | 2019-07-03 |
| 1649741802 | Colten Vancampen | Behavior Technician | 515 S 700 E #2a, Salt Lake City, UT 84102 | 2018-12-16 |
| 1457847964 | Utah Podiatry Group PC | Podiatrist | 24 S 1100 E Ste 120, Salt Lake City, UT 84102 | 2018-07-09 |
| 1104311661 | Malorey Kooyman | Behavior Technician | 515 700 East, Suite 2a, Salt Lake City, UT 84102 | 2018-06-27 |
| 1700384930 | Utah Podiatry Group PC | Podiatrist | 82 S 1100 E Ste 301, Salt Lake City, UT 84102 | 2018-01-23 |
| Find all providers in zip 84102 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902368640 | Jennifer Elizabeth | Counselor | 1583 S 1600 E, Salt Lake City, UT 84105-2829 | 2019-04-02 |
| 1487114138 | Kara Kristine Groicher | Counselor | 525 E 100 S Ste 320, Salt Lake City, UT 84102-4210 | 2019-03-20 |
| 1649644428 | Naomia Bell | Counselor | 5965 S 900 E Ste 430, Salt Lake City, UT 84121-1720 | 2015-11-17 |
| 1033506464 | Maikel Hernandez | Counselor | 207 E Williams Ave, Salt Lake City, UT 84111-4625 | 2015-04-23 |
| 1619242062 | Martin Lynn Macdonald | Counselor | 2872 S. Highland Drive, Touchstone Therapy Center, Salt Lake City, UT 84106 | 2012-03-19 |
| 1447522297 | Ivana Juarez | Counselor | 570 N 200 W, Apt 9, Salt Lake City, UT 84103-1334 | 2012-02-08 |
| 1891085346 | Randall Ann Smith | Counselor | 160 S 600 E, #300, Salt Lake City, UT 84102-1962 | 2011-04-17 |
| 1497054829 | Alyson R Ainscough | Counselor | 2549 Melbourne St, Salt Lake City, UT 84106-4003 | 2011-03-24 |
| 1144527243 | Crystal Nicole Garduno | Counselor | 1522 South 1100 East, Salt Lake City, UT 84105 | 2011-02-25 |
| 1215242003 | Edward Paul France | Counselor | 125 W Burton Ave, Salt Lake City, UT 84115-2610 | 2010-08-17 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84102 |
Please comment or provide details below to improve the information on MS. STEFANIE MINEN.
| 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.