STACY GIBBONS (NPI# 1770072209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770072209 |
| Entity Type | Individual |
| Full Name | STACY GIBBONS |
| Practice Address |
833 E 9400 S Sandy UT 84094-3655 |
| Mailing Address |
2932 W Reta Ridge Ct South Jordan UT 84095-1247 |
| Practice Telephone | 8015662556 |
| Mailing Telephone | 8018701598 |
| Enumeration Date | 2018-05-10 |
| Last Update Date | 2018-05-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
UT | Behavioral Health & Social Service Providers |
| Street Address |
833 E 9400 S |
| City | SANDY |
| State | UT |
| Zip Code | 84094-3655 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750518676 | Julie Christensen | Social Worker | 833 E 9400 S, Sandy, UT 84094 | 2009-06-18 |
| 1194332767 | Sarah Nelson | Counselor | 833 E 9400 S, Sandy, UT 84094-3655 | 2020-09-28 |
| 1548877376 | Sara Pulsipher | Social Worker | 833 E 9400 S, Sandy, UT 84094-3655 | 2020-09-25 |
| 1770139149 | Kathy Marie Spencer | Social Worker | 833 E 9400 S, Sandy, UT 84094-3655 | 2019-08-12 |
| 1558926592 | Lisa Farnworth | Marriage & Family Therapist | 833 E 9400 S, Sandy, UT 84094-3655 | 2019-05-06 |
| 1861057192 | Ashley Jordan Olsen | Social Worker | 833 E 9400 S, Sandy, UT 84094-3655 | 2019-05-02 |
| 1356820013 | Christiana Diane Hoffmann | Social Worker | 833 E 9400 S, Sandy, UT 84094-3655 | 2018-08-13 |
| 1497271639 | Matthew Hughes | Social Worker | 833 E 9400 S, Sandy, UT 84094-3655 | 2017-08-18 |
| 1598280356 | N. Elaine Huntsman | Counselor | 833 E 9400 S, Sandy, UT 84094-3655 | 2017-08-13 |
| 1073055968 | Alyssa Tafuri | Social Worker | 833 E 9400 S, Sandy, UT 84094-3655 | 2016-11-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649754508 | Hollie J Wharton | Advanced Practice Midwife | 9450 S. 1300 E., Sandy, UT 84094 | 2018-09-18 |
| 1417306804 | Sarah Scheibe | Counselor | 1123 E Tulane Cir, Sandy, UT 84094 | 2016-06-07 |
| 1457771313 | Zhenhao Liu | Internal Medicine | 11333 S 1000 E Ste 100, Sandy, UT 84094 | 2014-04-18 |
| 1770919714 | Bojan Jurosevic | Physical Therapist | 7940 South 1300 East, Sandy, UT 84094 | 2013-09-23 |
| 1104259464 | Ryan Blick | Marriage & Family Therapist | 833 East 9400 South, Sandy, UT 84094 | 2013-08-09 |
| 1780027821 | Lauren Coyle | Obstetrics & Gynecology | 9600 S 1300 E Ste 308, Sandy, UT 84094 | 2013-04-08 |
| 1285971697 | Robert W Later Md PC | Specialist | 9600 S 1300 E Suite 302, Sandy, UT 84094 | 2013-01-07 |
| 1306149679 | Premier Home Health, LLC | Home Health | 978 Larkspur Dr, Sandy, UT 84094 | 2010-12-08 |
| 1760704753 | Altaview Hospital | General Acute Care Hospital | 9660 South 13th East, Sandy, UT 84094 | 2010-02-18 |
| 1225276611 | Jeremy Scott Boyle | Marriage & Family Therapist | 9055 S 1300 E Ste 12, Sandy, UT 84094 | 2009-01-23 |
| Find all providers in zip 84094 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740890961 | Elizabeth Lowe Madsen | Counselor | 9678 700 East Suite 102, Sandy, UT 84070 | 2020-08-03 |
| 1508486473 | Integrative Counseling, LLC | Counselor | 510 E Sego Lily Dr, Sandy, UT 84070-3546 | 2020-04-21 |
| 1811526122 | Moving Forward Counseling | Counselor | 9571 S 700 E Ste 101, Sandy, UT 84070-3472 | 2020-04-07 |
| 1417597188 | Hayley Burr | Counselor | 8706 700 E, Suite 205, Sandy, UT 84070 | 2020-01-10 |
| 1205484755 | Live for Life Behavioral Health, LLC | Counselor | 9045 S 1300 E # 200, Sandy, UT 84094-3134 | 2019-08-28 |
| 1821656422 | Karen Ritchie | Counselor | 9192 South 300 West, Sandy, UT 84070 | 2019-05-30 |
| 1912464546 | Russell Edward Peters | Counselor | 10708 S 1300 E Ste 103, Sandy, UT 84094-5027 | 2019-03-01 |
| 1033673926 | David S Bridgeman | Counselor | 781 E Autumn Field Dr, Sandy, UT 84094-1872 | 2019-01-25 |
| 1538640347 | Brandon Stewart Bunker | Counselor | 9055 S 1300 E Ste 107, Sandy, UT 84094-3133 | 2018-08-29 |
| 1679068159 | Derek Livingston | Counselor | 11075 State St #35, Sandy, UT 84070 | 2018-06-27 |
| Find all providers in SANDY | ||||
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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.