MEGAN REQUADT (NPI# 1720386238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720386238 |
| Entity Type | Individual |
| Full Name | MEGAN REQUADT |
| Practice Address |
780 Guardsman Way Salt Lake City UT 84108-1374 |
| Practice Telephone | 8015810194 |
| Mailing Telephone | 8015810194 |
| Enumeration Date | 2011-03-08 |
| Last Update Date | 2011-03-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
780 GUARDSMAN WAY |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84108-1374 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154306421 | Douglas Bowen Brunker | Social Worker | 780 Guardsman Way, Salt Lake City, UT 84108-1374 | 2005-12-09 |
| 1750641981 | Joclynn Rowley | Counselor | 780 Guardsman Way, Salt Lake City, UT 84108-1374 | 2012-05-22 |
| 1245590470 | Madeline Vandever | Counselor | 780 Guardsman Way, Salt Lake City, UT 84108-1374 | 2012-05-22 |
| 1780941435 | Michele Orphanakis | Counselor | 780 Guardsman Way, Salt Lake City, UT 84108-1374 | 2012-04-19 |
| 1194023861 | Caryn Delayn Wehmeyer | Counselor | 780 Guardsman Way, Salt Lake City, UT 84108-1374 | 2011-03-04 |
| 1487952131 | Lisa Sorensen | Counselor | 780 Guardsman Way, Salt Lake City, UT 84108-1374 | 2011-03-04 |
| 1114225851 | Joseph Francis Russo | Counselor | 780 Guardsman Way, Salt Lake City, UT 84108-1374 | 2011-03-04 |
| 1760780423 | Jason Lee Mair | Counselor | 780 Guardsman Way, Salt Lake City, UT 84108-1374 | 2011-03-04 |
| 1326346073 | Teresa K Embleton | Counselor | 780 Guardsman Way, Salt Lake City, UT 84108-1374 | 2011-03-04 |
| 1700184488 | Lucy Thach | Counselor | 780 Guardsman Way, Salt Lake City, UT 84108-1374 | 2011-03-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548753056 | Maxine Ht Erickson | Assistant Behavior Analyst | 780 Guardsman Way, Salt Lake City, Ut 84108, Salt Lake City, USA 84108 | 2018-06-08 |
| 1841704061 | Robyn Carver | Occupational Therapist | 421 Wakara Wat, Salt Lake City, UT 84108 | 2017-11-27 |
| 1518478742 | Lcr Dental Sugar House | Dentist | 2068 S 2100 E Suite #a, Salt Lake City, UT 84108 | 2017-10-16 |
| 1447708912 | Aubrianne Squire Evans | Occupational Therapist | 421 S Wakara Way Ste 201, Salt Lake City, UT 84108 | 2016-09-14 |
| 1629524426 | Ryan Weisenbeck | Specialist/Technologist | 580 S Guardsman Way, Salt Lake City, UT 84108 | 2016-08-31 |
| 1164885547 | Michael Fazzone | Student in an Organized Health Care Education/Training Program | 530 South Wakara Way, University of Urah, School of Dentistry, Salt Lake City, UT 84108 | 2016-04-01 |
| 1669833489 | Bryon Claflin | Registered Nurse | 650 S Komas Ste 200, Salt Lake City, UT 84108 | 2016-03-08 |
| 1801283833 | Autism Assement Treatment Program Adult | Psychologist | 650 S Komas, Suite 200, Salt Lake City, UT 84108 | 2015-04-16 |
| 1578993275 | Matthew and David Dental Pllc | Dentist | 1355 Foothill Drive, Salt Lake City, UT 84108 | 2013-11-15 |
| 1841631520 | Deepika Garg | Internal Medicine | 675 S Arapeen Dr Ste 205, Salt Lake City, UT 84108 | 2013-07-10 |
| Find all providers in zip 84108 | ||||
| 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 |
|---|---|---|---|---|
| 1780281519 | Sitti Suhardi | Counselor | 2550 S Main St Apt 1307, Salt Lake City, UT 84115-3071 | 2020-10-05 |
| 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 |
| 1083172704 | Brooke Pyper | Counselor | 335 W Bugatti Dr, Salt Lake City, UT 84115-2521 | 2019-03-12 |
| 1881168185 | Korilynn Cheatham Bartley | Counselor | 124 S 400 E Ste 300, Salt Lake City, UT 84111-5307 | 2019-01-20 |
| 1164910089 | Gerald Louis Costley | Counselor | 339 E 3900 S Ste 155, Salt Lake City, UT 84107-1978 | 2018-04-26 |
| 1912412867 | Jackson Patrick Collins | Counselor | 1650 E 6670 S, Salt Lake City, UT 84121-2760 | 2017-12-13 |
| 1891225678 | Phil Edward Francis | Counselor | 4000 S 700 E Ste 9, Salt Lake City, UT 84107-2581 | 2017-06-14 |
| 1063866549 | Dustin Palmer | Counselor | 344 E 100 S # 230, Salt Lake City, UT 84111 | 2016-04-20 |
| 1740642735 | Misty Tae Ungricht | Counselor | 4460 S Highland Dr Ste 2106b, Salt Lake City, UT 84124-3543 | 2016-03-28 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84108 |
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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.