MR. BRENT W. INNES (NPI# 1639225956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639225956 |
| Entity Type | Individual |
| Full Name | MR. BRENT W. INNES |
| Other Name | MR. BRENT W. INNES |
| Practice Address |
3518 Washington Blvd Ogden UT 84403-1034 |
| Mailing Address |
2082 E 6075 S Ogden UT 84403-5240 |
| Practice Telephone | 8013991600 |
| Mailing Telephone | 8014794231 |
| Enumeration Date | 2007-01-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
107425-3501 | UT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | LCSW | 107425-3501 | 01 |
| Street Address |
3518 WASHINGTON BLVD |
| City | OGDEN |
| State | UT |
| Zip Code | 84403-1034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295887503 | William Joseph Endy | Counselor | 3518 Washington Blvd, Ogden, UT 84403-1034 | 2007-01-17 |
| 1568980449 | Marcos Alberto Uboldi | Social Worker | 3518 Washington Blvd, Ogden, UT 84403-1034 | 2017-08-31 |
| 1346613411 | Antonella Kelly | Counselor | 3518 Washington Blvd, Ogden, UT 84403-1034 | 2015-11-11 |
| 1780014019 | Family Counseling Service of Northern Utah Inc | Counselor | 3518 Washington Blvd, Ogden, UT 84403-1034 | 2013-11-22 |
| 1043577596 | Milla Jane Osborne | Counselor | 3518 Washington Blvd, Ogden, UT 84403-1034 | 2012-04-20 |
| 1346402864 | Family Counseling Services | Community/Behavioral Health | 3518 Washington Blvd, Ogden, UT 84403-1034 | 2008-06-26 |
| 1194920991 | Tab L Uno | Social Worker | 3518 Washington Blvd, Ogden, UT 84403-1034 | 2007-06-20 |
| 1750434049 | Jeffrey P Baird | Counselor | 3518 Washington Blvd, Ogden, UT 84403-1034 | 2007-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235744632 | Megan Louise Larkins | Specialist/Technologist | 4000 Brinker Ave. The Apartments., Apartment 15, Ogden, UT 84403 | 2020-09-11 |
| 1154959062 | Joshua Clifford Hansen | Student in an Organized Health Care Education/Training Program | 4403 Harrison Boulevard, Ste A700, Ogden, UT 84403 | 2020-03-28 |
| 1346895935 | Positional Release Therapy Institute LLC | Specialist/Technologist | 1702 E. 5600 S., Ogden, UT 84403 | 2019-08-09 |
| 1841842077 | Braken Wooden | Chiropractor | 1893 Skyline Dr., Suite 204, South Ogden, UT 84403 | 2019-07-09 |
| 1023670569 | Wasatch Advanced Dental Care LLC | Dentist | 3590 Harrison Blvd Suite #1, Ogden, UT 84403 | 2019-07-05 |
| 1194237636 | Marci Niemeyer | Physician Assistant | 5929 Fashion Point Dr Ste 101, South Ogden, UT 84403 | 2017-10-24 |
| 1578081949 | Stephanie Jensen | Specialist/Technologist | 1473 36th Street, Ogden, UT 84403 | 2017-09-06 |
| 1891213385 | Forrest Sutherland | Specialist/Technologist | 1075 E 41st St., Ogden, UT 84403 | 2017-09-05 |
| 1184159022 | Nicole Lee Van Tassell | In Home Supportive Care | 1496 East 5600 South, Unit 6, Ogden, UT 84403 | 2017-04-28 |
| 1265889166 | Modern Dental Professionals Ut, PC | Dentist | 5974 S. Fashion Pointe Drive, Suite 210, South Ogden, UT 84403 | 2016-05-20 |
| Find all providers in zip 84403 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467079509 | Misty Michelle Rosier | Counselor | 3329 W 1400 S, Ogden, UT 84401-9704 | 2020-07-05 |
| 1881953495 | Monarch Counseling Center | Counselor | 1181 Christmas Box Ln, Ogden, UT 84404-6401 | 2012-05-16 |
| 1588965982 | Jonathan L Buttrey | Counselor | 1812 E 5625 S Apt B, Ogden, UT 84403-5967 | 2010-11-16 |
| 1346578465 | Leslie L Beatty | Counselor | 533 26th St Ste 202, Ogden, UT 84401-2459 | 2009-12-01 |
| 1164692323 | Katie Bingham | Counselor | 1812 N 2000 W Ste 1, Ogden, UT 84404-8059 | 2008-03-04 |
| 1215056247 | Robert Jesse Reed | Counselor | 2909 Washington Blvd, Suite 101, Ogden, UT 84401-3744 | 2007-03-29 |
| 1467571174 | Kim Michaele Palmer | Counselor | 4231 Porter Ave, Ogden, UT 84403-2836 | 2007-03-27 |
| 1487716445 | Marc Maurice Searle | Counselor | 1020 Lincoln Avenue, Ogden, UT 84404 | 2006-12-15 |
| 1235298316 | Kyra Dawn Delcambre | Counselor | 2740 Pennsylvania Ave, Ogden, UT 84401-3320 | 2006-12-06 |
| 1164537726 | Kathryn Stamos Grow | Counselor | 3544 Lincoln Ave Ste C, Ogden, UT 84401-4034 | 2006-08-21 |
| Find all providers in OGDEN | ||||
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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.