JILLIAN BROECKERT (NPI# 1740646785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740646785 |
| Entity Type | Individual |
| Full Name | JILLIAN BROECKERT |
| Credential | LCMHC |
| Practice Address |
1420 W 360 N Saint George UT 84770-4653 |
| Practice Telephone | 4353596798 |
| Mailing Telephone | 4353596798 |
| Enumeration Date | 2016-01-06 |
| Last Update Date | 2016-01-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
8390625-6004 | UT | Behavioral Health & Social Service Providers |
| Street Address |
1420 W 360 N |
| City | SAINT GEORGE |
| State | UT |
| Zip Code | 84770-4653 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740808500 | Redstone Reference Laboratories Inc | Clinical Medical Laboratory | 556 N Dixie Drive, Suite 2, St George, UT 84770 | 2020-07-08 |
| 1033776315 | Ecko Ashmore | Marriage & Family Therapist | 1173 S. 250 W. Bld 1 Ste 208, St. George, UT 84770 | 2019-05-22 |
| 1740844679 | Amy Darragh | Behavior Technician | 249 E Tabernacle St, Ste 100, St George, UT 84770 | 2019-04-25 |
| 1124598198 | Loren Kyle Gulbranson | Internal Medicine | Dixie Regional Medical Center, 515 South, 300 East, Saint George, UT 84770 | 2018-12-03 |
| 1487150728 | Sound Sleep Medical LLC | Durable Medical Equipment & Medical Supplies | 640 East 700 South Building 2, St. George, UT 84770 | 2018-04-04 |
| 1588162911 | Desert Edge Medical | Family Medicine | 1664 S Dixie Dr Ste D201, St George, UT 84770 | 2018-01-31 |
| 1568981314 | Jeffrey Joseph Peterson | Behavior Technician | 162 N 400 E Ste A-105, St. George, UT 84770 | 2017-09-13 |
| 1992242549 | Zachary Carey | Specialist/Technologist | 1115 W Diamond Valley Dr, Saint George, UT 84770 | 2017-01-20 |
| 1669920427 | Charles Taylor Church | Technician, Other | 474 West 200 East, St. George, UT 84770 | 2016-09-21 |
| 1952755480 | Hollystic Hideaway | Voluntary or Charitable | 1418 W Sunset Blvd. # 2, Saint George, UT 84770 | 2016-04-21 |
| Find all providers in zip 84770 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184239337 | Dara Larsen | Counselor | 923 S River Rd Ste 204, Saint George, UT 84790-2288 | 2020-09-14 |
| 1861869059 | Louis Carn | Counselor | 1496 Saint Mark Bowman Rd, Saint George, SC 29477-8580 | 2015-08-24 |
| 1508126285 | Ryan P Thompson | Counselor | 321 N Mall Dr Ste F202, Saint George, UT 84790-7351 | 2012-05-29 |
| 1982898094 | Center for Couples & Families | Counselor | 1173 So 250 West, Bldg 1- Suite 208, Saint George, UT 84770-8477 | 2007-08-31 |
| 1972702736 | Jennifer Annette Spangler | Counselor | 1224 S River Rd Ste B233, Saint George, UT 84790-8285 | 2007-07-12 |
| 1023634540 | Knar Sanossian-gavin | Counselor | 1282 Palmer Cir, Saint George, UT 84790-7742 | 2020-06-20 |
| 1053864066 | Takavar Ghane | Counselor | 747 E Saint George Blvd, Saint George, UT 84770-3035 | 2016-07-26 |
| 1922551092 | Lea Frances Poll | Counselor | 377 E Riverside Dr Ste B, Saint George, UT 84790 | 2016-07-25 |
| 1497108872 | Daryl Lytle | Counselor | 747 E Saint George Blvd, Saint George, UT 84770-3035 | 2016-07-20 |
| 1013380625 | Christine Erickson | Counselor | 435 E Tabernacle St, Suite 201, Saint George, UT 84770-2979 | 2015-11-04 |
| Find all providers in SAINT GEORGE | ||||
| City | SAINT GEORGE |
| Zip Code | 84770 |
Please comment or provide details below to improve the information on JILLIAN BROECKERT.
| 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.