NICOLE WARDELL (NPI# 1801139613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801139613 |
| Entity Type | Individual |
| Full Name | NICOLE WARDELL |
| Practice Address |
523 Heritage Park Blvd Layton UT 84041-5711 |
| Mailing Address |
163 E 1100 N Centerville UT 84014-1525 |
| Practice Telephone | 8015259998 |
| Mailing Telephone | 3072720289 |
| Enumeration Date | 2013-03-29 |
| Last Update Date | 2019-11-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 11522297-3506 | UT | Behavioral Health & Social Service Providers |
| N | 172V00000X | Community Health Worker | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 163 E 1100 N, Centerville, UT 840141525 | 3072720289 | |
| 4989 N 3rd St, Laramie, WY 820729548 | 3077458997 |
| Street Address |
523 HERITAGE PARK BLVD |
| City | LAYTON |
| State | UT |
| Zip Code | 84041-5711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710009915 | Bcbu, Inc | Home Health | 523 Heritage Park Blvd, Layton, UT 84041-5711 | 2007-04-06 |
| 1508496605 | Mistie Jolene Hoaglin | Social Worker | 523 Heritage Park Blvd, Layton, UT 84041-5711 | 2020-01-17 |
| 1487112264 | Kelly Martin | Social Worker | 523 Heritage Park Blvd, Layton, UT 84041-5711 | 2019-03-11 |
| 1982875928 | Discovery House Lt, Inc. | Clinic/Center | 523 Heritage Park Blvd, Layton, UT 84041-5711 | 2008-03-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700499183 | Grab Healthcare, LLC | Clinic/Center | 245 E 2150 N, Suite C, Layton, UT 84041 | 2020-08-26 |
| 1154961399 | Victoria Leeann Taylor | Massage Therapist | 716 Antelope Dr, Layton, UT 84041 | 2020-01-15 |
| 1184181505 | Brian Taylor Woodbury | Occupational Therapist | 471 Heritage Park Blvd. Ste #5, Layton, UT 84041 | 2019-02-21 |
| 1740756816 | Jacob C Juarez | Physician Assistant | 2084 N. 1700 W., Suite A, Layton, UT 84041 | 2018-10-16 |
| 1134637945 | Jodi Lynn Siri | Counselor | 365 W 1550 N Ste F, Layton, UT 84041 | 2018-01-15 |
| 1083128029 | Utah Cvs Pharmacy LLC | Pharmacy | 50 South Fort Lane, Layton, UT 84041 | 2017-11-29 |
| 1376057315 | Utah Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2000 W & W 1700 S Nec, Layton, UT 84041 | 2017-11-29 |
| 1912411992 | Live Strong House LLC | Counselor | 377 N. Marshall Way, Suite 1b, Layton, UT 84041 | 2017-11-28 |
| 1003326505 | Kenneth L Ernstrom | Pharmacist | 2065 N Robins Drive, Layton, UT 84041 | 2017-10-10 |
| 1356868319 | Utah Home Health and Hospice LLC | Family Medicine | 920 W Heritage Park Blvd Suite 120, Layton, UT 84041 | 2017-08-29 |
| Find all providers in zip 84041 | ||||
| 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 |
|---|---|---|---|---|
| 1255977401 | Emma Diane Farmer | Counselor | 1505 N 1275 E, Layton, UT 84040-8331 | 2019-11-22 |
| 1669982138 | Jose Lee Castillo IIi | Counselor | 1102 N Fort Ln, Layton, UT 84041-2444 | 2017-10-10 |
| 1083093702 | Dc Corgiat LLC | Counselor | 1916 N 700 W Ste 190, Layton, UT 84041-5726 | 2015-05-27 |
| 1356741565 | Kristopher Todd Crowl | Counselor | 2340 N 800 W, Layton, UT 84041-4702 | 2014-08-26 |
| 1407256753 | Brandon Keenan Rease | Counselor | 78 W 1850 N, Layton, UT 84041-7818 | 2014-08-22 |
| 1235553736 | Robert O Hjorth | Counselor | 3108 N 2250 E, Layton, UT 84040-6531 | 2014-02-05 |
| 1508152885 | Jaclyn King Knapp | Counselor | 1492 W Antelope Drive, Ste 205, Layton, UT 84041 | 2011-06-24 |
| 1174824692 | Timothy Wayne Keffer | Counselor | 1176 N 350 W, Layton, UT 84041-4829 | 2010-11-15 |
| 1710295597 | Carrie Michele Merino | Counselor | 2600 N Hill Field Rd Trlr 105, Layton, UT 84041-1291 | 2010-09-15 |
| 1295358497 | Janae Olson | Counselor | 934 S Main St, Layton, UT 84041-7135 | 2020-05-21 |
| Find all providers in LAYTON | ||||
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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.