SANDRA CHACON (NPI# 1821474016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821474016 |
| Entity Type | Individual |
| Full Name | SANDRA CHACON |
| Credential | LCSW |
| Practice Address |
240 N East Promontory Ste 200 Farmington UT 84025-2950 |
| Mailing Address |
1595 N Mandalay Rd Salt Lake City UT 84116-4130 |
| Practice Telephone | 8019910484 |
| Mailing Telephone | 8019910484 |
| Enumeration Date | 2015-08-11 |
| Last Update Date | 2020-09-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | 876000308007 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 237 26th St, Ogden, UT 844013105 | 8016253700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609126218 | Sandra Marie Chacon | Rehabilitation Practitioner | 1224 Vine St, Los Angeles, CA 90038-1612 | 2012-09-12 |
| Street Address |
240 N EAST PROMONTORY STE 200 |
| City | FARMINGTON |
| State | UT |
| Zip Code | 84025-2950 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760670962 | Emily Young Bullock | Psychologist | 240 N East Promontory Ste 200, Farmington, UT 84025-2950 | 2007-10-12 |
| 1588153522 | Aimee Danielle Sanders | Psychologist | 240 N East Promontory Ste 200, Farmington, UT 84025-2950 | 2018-05-04 |
| 1386142396 | South Davis Psychological Services | Psychologist | 240 N East Promontory Ste 200, Farmington, UT 84025-2950 | 2018-01-24 |
| 1881043487 | South Davis Psychological Services | Clinic/Center | 240 N East Promontory Ste 200, Farmington, UT 84025-2950 | 2016-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013522200 | Kim Nguyen | Behavior Technician | 1148 N Wilow Wind Rd Unit 9, Farmington, UT 84025 | 2020-09-14 |
| 1164980181 | Adam Thomas Creer | Nurse Practitioner | 696 N 40 E Apt 2, Farmington, UT 84025 | 2019-03-08 |
| 1881100550 | Lindsay Case | Counselor | 1645 W 1440 N, Farmington, UT 84025 | 2017-12-18 |
| 1447707955 | Joseph Daniel Levie | Chiropractor | 63 N. Main Street, Farmington, UT 84025 | 2016-09-01 |
| 1649724139 | University of Utah Adult Services | Dermatology | 165 N. University Ave. Farmington, Farmington, UT 84025 | 2016-08-12 |
| 1679931075 | Rhodes Physical Therapy, Inc | Clinic/Center | 722 W. Shepard Lane Suite 105, Farmington, UT 84025 | 2016-02-01 |
| 1760847552 | Polished Holdings, Inc. | Specialist | 491 W. Bourne Circle, Suite 2, Farmington, UT 84025 | 2015-12-21 |
| 1568833911 | Ageless Men's Health Holdings, LLC | Specialist | 491 West Bourne Circle, Suite 2, Farmington, UT 84025 | 2015-10-12 |
| 1588053300 | Onsyte Surgical of Nevada, LLC | Clinic/Center | 1262 S 650 W Suite 1d, Farmington, UT 84025 | 2015-01-16 |
| 1568879872 | Laura Cook | Counselor | 1200 West Red Barn Lane, Farmington, UT 84025 | 2014-07-18 |
| Find all providers in zip 84025 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013520428 | Deborah Jean Robinson | Counselor | 3300 N Butler Ave Ste 220, Farmington, NM 87401-2342 | 2020-08-25 |
| 1023620762 | Andrew James Maihos | Counselor | 7 Maple St, Farmington, NH 03835-3714 | 2020-08-22 |
| 1730798448 | Rylee Morris | Counselor | 37 Road 1639, Farmington, NM 87401-9614 | 2020-07-28 |
| 1467070128 | Sonsee'rae Dolores Sells | Counselor | 3209 Crestridge Dr, Farmington, NM 87401-9332 | 2020-07-09 |
| 1619519089 | Stacey Nicole Gillette | Counselor | 17885 Hart Pinkston Rd, Farmington, MO 63640 | 2019-10-17 |
| 1427609627 | Kristi Lynn Kinsella | Counselor | 95 Bowerman Rd, Farmington, NY 14425-7021 | 2019-09-27 |
| 1154987527 | Loren Goldstein | Counselor | 5940 Kennebec Ct, Farmington, NY 14425-8801 | 2019-05-11 |
| 1710465794 | Denise Jennifer Huegler | Counselor | 11 Road 5387, Farmington, NM 87401-1505 | 2018-08-01 |
| 1881181790 | Robin L Shahverdian LLC | Counselor | 304 Main St Ste D428, Farmington, CT 06032 | 2018-04-16 |
| 1508309303 | Barbara Lindell | Counselor | 1542 Sainte Genevieve Ave, Farmington, MO 63640-3454 | 2016-11-28 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 84025 |
Please comment or provide details below to improve the information on SANDRA CHACON.
| 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.