DR. JEREMY COTTLE (NPI# 1831520535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831520535 |
| Entity Type | Individual |
| Full Name | DR. JEREMY COTTLE |
| Credential | PH.D., L.C.S.W. |
| Practice Address |
1350 E 750 N Orem UT 84097-4345 |
| Mailing Address |
1768 S 1440 E Spanish Fork UT 84660-3523 |
| Practice Telephone | 8018364605 |
| Mailing Telephone | 8018364605 |
| Enumeration Date | 2013-12-05 |
| Last Update Date | 2013-12-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
32527 | TX | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
7765390-3501 | UT | Behavioral Health & Social Service Providers |
| Street Address |
1350 E 750 N |
| City | OREM |
| State | UT |
| Zip Code | 84097-4345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629071402 | Patricia Jean Bowling | Psychiatry & Neurology | 1350 E 750 N, Orem, UT 84097-4345 | 2005-05-24 |
| 1780194712 | Lorraine P Brimhall | Physician Assistant | 1350 E 750 N, Orem, UT 84097-4345 | 2017-10-04 |
| 1730529421 | Mitchell T Shepherd | Physician Assistant | 1350 E 750 N, Suite 1, Orem, UT 84097-4345 | 2013-06-27 |
| 1912341256 | Uhs of Provo Canyon Inc | Pharmacy | 1350 E 750 N, Orem, UT 84097-4345 | 2013-04-17 |
| 1356695175 | Mardi Bruner Bartholdt | Clinical Nurse Specialist | 1350 E 750 N, Orem, UT 84097-4345 | 2012-10-31 |
| 1457617409 | Uhs of Provo Canyon, Inc. | Psychiatric Hospital | 1350 E 750 N, Orem, UT 84097-4345 | 2012-04-04 |
| 1073829057 | Universal Healthservices Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1350 E 750 N, North Orem Medicaid, Orem, UT 84097-4345 | 2010-08-27 |
| 1164737094 | Samuel W Hill | Marriage & Family Therapist | 1350 E 750 N, Orem, UT 84097-4345 | 2010-08-16 |
| 1922249242 | Provo Canyon School Inc | Psychiatric Residential Treatment Facility | 1350 E 750 N, Orem, UT 84097-4345 | 2009-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700392735 | Scott Harris | Chiropractor | 1425 S State St, Orem, UT 84097 | 2017-12-28 |
| 1457870990 | Summit Laboratory Services | Pathology | 1480 East 820 North, Orem, UT 84097 | 2017-09-15 |
| 1144759275 | White Smiles Family Dentistry | Clinic/Center | 594 E 800 S Suite G, Orem, UT 84097 | 2017-06-12 |
| 1801322367 | Mallory Hendrickson | Assistant Behavior Analyst | 744 E 1650 S, Orem, UT 84097 | 2017-05-03 |
| 1841648664 | National Vision, Inc. | Technician/Technologist | 545 E University Pkwy, Ste 103, Orem, UT 84097 | 2016-06-02 |
| 1538435045 | Wasatch Mental Health | Case Management | 1127 N 1450 E, Orem, UT 84097 | 2012-03-29 |
| 1366720104 | Deseret Counseling Inc | Social Worker | 1325 South 800 East, Suite 115 Room 115 B, Orem, UT 84097 | 2011-07-27 |
| 1598056053 | Uhs of Provo Canyon Inc | Psychiatric Residential Treatment Facility | 1350 E 750 North, Orem, UT 84097 | 2011-05-02 |
| 1659677219 | Francisco Xavier Ampuero | Counselor | 1015 So. State Street, Bsmt. Office, Orem, UT 84097 | 2011-01-31 |
| 1275835449 | Pursonna Tuiletufuga | Counselor | 1160 South Main Street, Suite 180a, Orem, UT 84097 | 2010-11-22 |
| Find all providers in zip 84097 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255953642 | Taija Mecham | Social Worker | 754 S 400 E Ste 201, Orem, UT 84097-6344 | 2020-05-08 |
| 1699301754 | Julie Kristine Chacon | Social Worker | 7 Sage Dr, Orem, UT 84097-5625 | 2020-03-20 |
| 1497385728 | Kaylem Ephraim Arteaga | Social Worker | 1838 S 180 W, Orem, UT 84058-7476 | 2020-01-26 |
| 1124684709 | Meagan Lavelle Brooks | Social Worker | 36 S 400 W Ste 102, Orem, UT 84058-5359 | 2019-05-19 |
| 1053878975 | Keith Weaver | Social Worker | 314 W 1700 S, Orem, UT 84058-7542 | 2019-02-27 |
| 1154890051 | Emily Cooper | Social Worker | 835 W 400 N, Orem, UT 84057-4566 | 2018-11-20 |
| 1386119238 | Travis Cody Larsen | Social Worker | 360 S State St Ste 103, Orem, UT 84058-5745 | 2018-10-08 |
| 1417459892 | Caroline Elizabeth Conley | Social Worker | 449 N Orem Blvd, Orem, UT 84057-8813 | 2018-03-01 |
| 1619418068 | Ashliegh E Baldwin | Social Worker | 1875 S State St, Orem, UT 84097-8078 | 2017-03-18 |
| 1073060141 | Rachel Thornton | Social Worker | 276 E 950 S Ste 200, Orem, UT 84058-7054 | 2016-09-07 |
| Find all providers in OREM | ||||
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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.