TERA ETTINGER (NPI# 1811472574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811472574 |
| Entity Type | Individual |
| Full Name | TERA ETTINGER |
| Credential | SUDC |
| Practice Address |
901 S Orem Blvd Orem UT 84058-5011 |
| Practice Telephone | 8014655111 |
| Mailing Telephone | 8014655111 |
| Enumeration Date | 2018-09-28 |
| Last Update Date | 2018-09-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
901 S OREM BLVD |
| City | OREM |
| State | UT |
| Zip Code | 84058-5011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134525447 | John Burr, Inc | Social Worker | 901 S Orem Blvd, Orem, UT 84058-5011 | 2014-11-13 |
| 1114589421 | Cody Martensen | Peer Specialist | 901 S Orem Blvd, Orem, UT 84058-5011 | 2019-07-08 |
| 1265990329 | Steps Md | Internal Medicine | 901 S Orem Blvd, Orem, UT 84058-5011 | 2019-03-07 |
| 1306313739 | Richard Biren | Counselor | 901 S Orem Blvd, Orem, UT 84058-5011 | 2018-10-24 |
| 1245705409 | Joseph Elder | Counselor | 901 S Orem Blvd, Orem, UT 84058-5011 | 2018-10-03 |
| 1285119933 | Peggy Webster | Counselor | 901 S Orem Blvd, Orem, UT 84058-5011 | 2018-09-28 |
| 1427445980 | Steps Recovery Center | Substance Abuse Rehabilitation Facility | 901 S Orem Blvd, Orem, UT 84058-5011 | 2015-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821696782 | Kaley Brooksby | Behavior Technician | 1140 W 1130, Orem, UT 84058 | 2020-10-13 |
| 1679042303 | Carolyn Mott Harvey | Counselor | 276 E 905 S, Orem, UT 84058 | 2018-11-26 |
| 1902371826 | Jennifer Morgan Ellefsen | Nurse Practitioner | 800 W University Pkwy # Ms 200, Orem, UT 84058 | 2018-10-07 |
| 1508340944 | Eye Pros of Orem | Optometrist | 366 E. University Parkway, Orem, UT 84058 | 2018-09-21 |
| 1003398025 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 366 E University Pkwy, Orem, UT 84058 | 2018-09-06 |
| 1407338288 | Jecel Kevin Mendoza | Case Manager/Care Coordinator | 1109 W 1390 S, Orem, UT 84058 | 2018-08-29 |
| 1407368509 | Kaitlyn Winget | Specialist/Technologist | 800 W. University Pkwy, Dept of Athletics- Ms 104, Orem, UT 84058 | 2017-10-30 |
| 1871010454 | Linda S George | Behavior Technician | 1875 S Geneva Road, Orem, UT 84058 | 2017-08-24 |
| 1811435951 | Rhea V. Perry | Massage Therapist | 35 S 400 W, Orem, UT 84058 | 2017-02-09 |
| 1457735425 | John Thomas Garlock | Behavioral Analyst | 1140 W 1130 S Bld B, Orem, UT 84058 | 2015-07-19 |
| Find all providers in zip 84058 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538638705 | One By One Behavioral Health | Counselor | 1454 E 820 N, Orem, UT 84097-5481 | 2018-11-17 |
| 1063912335 | Jessica Wyly | Counselor | 1159 N 1165 W, Orem, UT 84057-6400 | 2018-02-13 |
| 1043722283 | Sabra Mary Dixon | Counselor | 591 W 800 N, Orem, UT 84057-3762 | 2017-10-27 |
| 1750893970 | Andrew Redd | Counselor | 267 W Center St, Orem, UT 84057-4611 | 2017-10-27 |
| 1902272198 | Robert Trevenen | Counselor | 494 W 1400 N, Orem, UT 84057-7001 | 2015-08-11 |
| 1245659606 | Zion Recovery Center Outpatient, LLC | Counselor | 360 W 920 N, Orem, UT 84057-3042 | 2014-04-14 |
| 1164708525 | Elizabeth Ann Spresser | Counselor | 1145 North 200 East, Orem, UT 84057 | 2011-10-31 |
| 1659677219 | Francisco Xavier Ampuero | Counselor | 1015 So. State Street, Bsmt. Office, Orem, UT 84097 | 2011-01-31 |
| 1093836553 | Mary Lou Smith | Counselor | 900 S State St, Orem, UT 84097-7028 | 2007-04-03 |
| 1700350386 | Megan Jones | Counselor | 494 W 1400 N, Orem, UT 84057-7001 | 2019-01-16 |
| Find all providers in OREM | ||||
Please comment or provide details below to improve the information on TERA ETTINGER.
| 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.