AMANDA PEDEN (NPI# 1881910586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881910586 |
| Entity Type | Individual |
| Full Name | AMANDA PEDEN |
| Credential | CMHC |
| Practice Address |
907 S Orem Blvd Suite B Orem UT 84058-5011 |
| Practice Telephone | 8014004739 |
| Mailing Telephone | 8014004739 |
| Enumeration Date | 2010-04-20 |
| Last Update Date | 2014-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
7827250-6004 | UT | Behavioral Health & Social Service Providers |
| Street Address |
907 S OREM BLVD SUITE B |
| City | OREM |
| State | UT |
| Zip Code | 84058-5011 |
| 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 | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679128599 | Flourish Therapy Inc | Counselor | 1426 E 820 N, Orem, UT 84097-5481 | 2019-08-07 |
| 1821460528 | Mark Cox | Counselor | 1045 S. Oren Blvd., Orem, UT 84058-1700 | 2015-10-21 |
| 1265853089 | Darren Johansen | Counselor | 310 W 400 N, Orem, UT 84057-4663 | 2013-12-20 |
| 1629411681 | Dorothy Ah Quin | Counselor | 511 W 630 S, Orem, UT 84058-6131 | 2013-04-09 |
| 1457654873 | Carl Barry Sanford | Counselor | 1479 W Center St, Orem, UT 84057-5104 | 2010-12-07 |
| 1346469830 | Melissa Jane Staska | Counselor | 1445 S 550 E, Orem, UT 84097-7719 | 2007-04-24 |
| 1659490795 | Delores F Stewart | Counselor | 1782 N State St, Orem, UT 84057-2025 | 2007-03-28 |
| 1255496212 | David O. Williams | Counselor | 313 E 1200 S, Suite # 101, Orem, UT 84058-6972 | 2006-12-27 |
| 1407193964 | Jennie Hall | Counselor | 195 E 840 S, Orem, UT 84058-5016 | 2013-01-03 |
| 1144509761 | Douglas Michael Huston | Counselor | 1358 W Business Park Dr, Orem, UT 84058-2203 | 2011-08-12 |
| 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.