JASON SIOUALOFA DAVIDSON (NPI# 1700262383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700262383 |
| Entity Type | Individual |
| Full Name | JASON SIOUALOFA DAVIDSON |
| Practice Address |
5150 S Washington Blvd Ste 1 South Ogden UT 84405-4503 |
| Practice Telephone | 8013370067 |
| Mailing Telephone | 8013370067 |
| Enumeration Date | 2015-08-05 |
| Last Update Date | 2015-08-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285194233 | Jason Brant Davidson | Registered Nurse | 36205 Ketchum Rd, Wildomar, CA 92595-7553 | 2019-03-24 |
| 1760412365 | Jason Howard Davidson | Chiropractor | 2609 Discovery Dr, Suite 105, Raleigh, NC 27616-1905 | 2006-07-03 |
| 1821238700 | Jason Wesley Davidson | Chiropractor | 21075 Swenson Dr, Suite 700, Waukesha, WI 53186-2000 | 2009-03-04 |
| 1558412478 | Jason D Davidson | Specialist/Technologist, Other | 880 Montclair Rd, Suite 577, Birmingham, AL 35213-1972 | 2007-01-16 |
| 1134225931 | Jason Arthur Davidson | Chiropractor | 100 John Maddox Dr Nw, Suite A-4, Rome, GA 30165-1431 | 2006-09-16 |
| Street Address |
5150 S WASHINGTON BLVD STE 1 |
| City | SOUTH OGDEN |
| State | UT |
| Zip Code | 84405-4503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710207303 | Alan Brooks Crossroads | Foster Care Agency | 5150 S Washington Blvd Ste 1, South Ogden, UT 84405-4503 | 2010-06-04 |
| 1851846992 | Cyler Preece | Counselor | 5150 S Washington Blvd Ste 1, South Ogden, UT 84405-4503 | 2016-08-18 |
| 1073977799 | Val Gilson | Counselor | 5150 S Washington Blvd Ste 1, South Ogden, UT 84405-4503 | 2016-04-08 |
| 1215307897 | Fereti Spitzenberg Jr. | Counselor | 5150 S Washington Blvd Ste 1, South Ogden, UT 84405-4503 | 2015-09-25 |
| 1558737189 | Tylean Peck | Counselor | 5150 S Washington Blvd Ste 1, South Ogden, UT 84405-4503 | 2015-08-18 |
| 1225417736 | Brandon Jones | Marriage & Family Therapist | 5150 S Washington Blvd Ste 1, South Ogden, UT 84405-4503 | 2015-05-29 |
| 1184049066 | Lori Smith | Counselor | 5150 S Washington Blvd Ste 1, South Ogden, UT 84405-4503 | 2014-02-28 |
| 1508289737 | Brittani Lots | Counselor | 5150 S Washington Blvd Ste 1, South Ogden, UT 84405-4503 | 2014-01-23 |
| 1518388891 | Vanessa Benedict | Marriage & Family Therapist | 5150 S Washington Blvd Ste 1, South Ogden, UT 84405-4503 | 2014-01-03 |
| 1649544537 | Sandra Lynn Downard | Counselor | 5150 S Washington Blvd Ste 1, South Ogden, UT 84405-4503 | 2012-02-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669028171 | Alyssa House | Behavioral Analyst | 4933 1500 West #110, Riverdale, UT 84405 | 2019-08-12 |
| 1518525989 | Petersen Farms Assisted Living & Memory Care | Assisted Living Facility | 6980 S. 475 E., South Weber, UT 84405 | 2019-05-31 |
| 1376038141 | National Vision, Inc. | Technician/Technologist | 821 West Riverdale Road, Riverdale, UT 84405 | 2018-06-25 |
| 1194218461 | South Weber City | Ambulance | 7365 S 1375 E, South Weber, UT 84405 | 2018-06-12 |
| 1528572682 | Sandra Jo Scott | Dental Hygienist | 264 W Ridgeline Dr, Washington Terrace, UT 84405 | 2017-11-28 |
| 1376079061 | Loretta Shupe | Registered Nurse | 5319 S 500 E, Ogden, UT 84405 | 2017-05-02 |
| 1134661374 | Randy Ferrin | Registered Nurse | 5697 Maplewood Drive, South Ogden, UT 84405 | 2016-11-04 |
| 1871046284 | Karla Rosen | Counselor | 5202 S. Freeway Park Dr., Riverdale, UT 84405 | 2016-08-02 |
| 1053784520 | Jenifer Rebecca Nilson Smith | Physical Therapist | 5648 S. Adams Ave, Washington Terrace, UT 84405 | 2015-11-05 |
| 1972976454 | Jenniferlyn Fletcher | Physical Therapy Assistant | 5648 South Adams Ave, Washington Terrace, UT 84405 | 2015-11-05 |
| Find all providers in zip 84405 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578805214 | Blake Kelly Earl | Counselor | 5150 S. Washington Blvd., Suite 1, South Ogden, UT 84405-4503 | 2013-03-20 |
| 1851846992 | Cyler Preece | Counselor | 5150 S Washington Blvd Ste 1, South Ogden, UT 84405-4503 | 2016-08-18 |
| 1073977799 | Val Gilson | Counselor | 5150 S Washington Blvd Ste 1, South Ogden, UT 84405-4503 | 2016-04-08 |
| 1215307897 | Fereti Spitzenberg Jr. | Counselor | 5150 S Washington Blvd Ste 1, South Ogden, UT 84405-4503 | 2015-09-25 |
| 1558737189 | Tylean Peck | Counselor | 5150 S Washington Blvd Ste 1, South Ogden, UT 84405-4503 | 2015-08-18 |
| 1184049066 | Lori Smith | Counselor | 5150 S Washington Blvd Ste 1, South Ogden, UT 84405-4503 | 2014-02-28 |
| 1508289737 | Brittani Lots | Counselor | 5150 S Washington Blvd Ste 1, South Ogden, UT 84405-4503 | 2014-01-23 |
| 1649544537 | Sandra Lynn Downard | Counselor | 5150 S Washington Blvd Ste 1, South Ogden, UT 84405-4503 | 2012-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083213383 | Stephanie Heinhold | Counselor | 5934 W Bella Rosa Cv, Herriman, UT 84096-1791 | 2020-10-19 |
| 1780281519 | Sitti Suhardi | Counselor | 2550 S Main St Apt 1307, Salt Lake City, UT 84115-3071 | 2020-10-05 |
| 1487261848 | Jon Nathan Jensen | Counselor | 1025 W 450 N, Provo, UT 84601-2518 | 2020-09-29 |
| 1245846815 | Denielle Renee Johnson | Counselor | 944 N Main, Nephi, UT 84648-1002 | 2020-09-19 |
| 1801400015 | Tyra Mae Vance | Counselor | 3375 S 880 E, Salt Lake City, UT 84106 | 2020-09-04 |
| 1033721394 | Salt Lake Therapy Collective | Counselor | 311 S 900 E Ste 103, Salt Lake City, UT 84102-2491 | 2020-08-18 |
| 1164040614 | Mark E Hutchinson | Counselor | 5047 S Galleria Drive, Murray, UT 84123 | 2020-07-10 |
| 1053959601 | Mckenzie Morgan | Counselor | 1240 E 100 S Bldg 22 #221, St George, UT 84790-3001 | 2019-12-13 |
| 1255977401 | Emma Diane Farmer | Counselor | 1505 N 1275 E, Layton, UT 84040-8331 | 2019-11-22 |
| 1467096537 | Mindy Jolene Wright | Counselor | 944 N Main St, Nephi, UT 84648-1002 | 2019-11-01 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH OGDEN |
| Zip Code | 84405 |
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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.