DR. JEFFRY HALE LARSON (NPI# 1780804872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780804872 |
| Entity Type | Individual |
| Full Name | DR. JEFFRY HALE LARSON |
| Credential | PH.D. |
| Practice Address |
1190 N. 900 E. Room 274 Provo UT 84602 |
| Mailing Address |
274 Tlrb Provo UT 84602 |
| Practice Telephone | 8014222344 |
| Mailing Telephone | 8014222344 |
| Enumeration Date | 2007-04-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 115953-3902 | UT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811989270 | Jeffry James Larson | Dentist | 39th Medical Squadron, Unit 7095 Box 185, Apo, AE 09824 | 2005-08-22 |
| Street Address |
1190 N. 900 E. ROOM 274 |
| City | PROVO |
| State | UT |
| Zip Code | 84602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780805994 | Wendy J Plewe | Social Worker | 1190 N. 900 E., Provo, UT 84604-3598 | 2007-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144847161 | Tara Marquez | Specialist/Technologist | Brigham Young University Sports Medicine 123 Sab, Provo, UT 84602 | 2020-06-26 |
| 1265071575 | Scott Daly Hosford | Psychologist | 2500 Wsc, Provo, UT 84602 | 2020-01-03 |
| 1417591728 | Christine Padilla | Specialist/Technologist | 331 Student Athlete Building, Provo, UT 84602 | 2019-10-30 |
| 1255999637 | Thomas Golightly | Psychologist | 1500 Wsc Byu, Provo, UT 84602 | 2019-05-31 |
| 1881179323 | David Inouye Takasaki | Specialist/Technologist | 331 Sab, Provo, UT 84602 | 2018-10-01 |
| 1568949006 | Mckenna Taylor | Specialist/Technologist | 1120 Sfh Brigham Young University, Provo, UT 84602 | 2018-07-27 |
| 1821513755 | Sarah Huppi | Physical Medicine & Rehabilitation | 1130 Sfh, Provo, UT 84602 | 2017-08-11 |
| 1427572627 | Mackenzie Booth | Physical Medicine & Rehabilitation | 1120 Sfh, Brigham Young University, Provo, UT 84602 | 2017-07-29 |
| 1124542451 | Phillip James Adrian Hartog | Specialist/Technologist | 1143 Smith Fieldhouse, Provo, UT 84602 | 2017-07-28 |
| 1114479698 | Christopher Jay Hortin | Specialist/Technologist | 106 Sfh, Provo, UT 84602 | 2016-10-31 |
| Find all providers in zip 84602 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861996621 | Angeline Lloyd | Marriage & Family Therapist | 1675 N Freedom Blvd Ste 5b, Provo, UT 84604-2555 | 2018-03-19 |
| 1518407964 | Flourish Counseling Services Pllc | Marriage & Family Therapist | 91 W 200 S, Provo, UT 84601-4443 | 2017-03-05 |
| 1285189514 | Daniel Allen Burgess | Marriage & Family Therapist | 4665 Mile High Dr, Provo, UT 84604-6311 | 2016-08-16 |
| 1235519067 | Erin Rackham | Marriage & Family Therapist | 3507 N University Ave Ste 350, Provo, UT 84604-6602 | 2015-06-06 |
| 1265811368 | Joanna Sumsion | Marriage & Family Therapist | 4626 N 300 W, Provo, UT 84604-7763 | 2015-05-21 |
| 1982026829 | Emily Freeze | Marriage & Family Therapist | 1881 N 1120 W, Provo, UT 84604 | 2014-01-13 |
| 1356778377 | Myrna Suzanne Gillis | Marriage & Family Therapist | 1726 Buckley Drive, Provo, UT 84606 | 2013-10-04 |
| 1255696423 | Marni K Winkel-reeve | Marriage & Family Therapist | 37 E Center St, Suite #208, Provo, UT 84606-3156 | 2012-07-12 |
| 1033421847 | Mark J Mauzy | Marriage & Family Therapist | 755 S 400 W, Provo, UT 84601-5855 | 2010-07-09 |
| 1588984835 | Ty R. Mansfield | Marriage & Family Therapist | 667 N 1890 W, Provo, UT 84601-1326 | 2010-06-09 |
| Find all providers in PROVO | ||||
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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.