ADRIANNA MELINDA PAHULU (NPI# 1972017804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972017804 |
| Entity Type | Individual |
| Full Name | ADRIANNA MELINDA PAHULU |
| Practice Address |
5698 W Glen Eagle Dr West Valley City UT 84128-4013 |
| Mailing Address |
75 E Fort Union Blvd Midvale UT 84047-1531 |
| Practice Telephone | 8019694181 |
| Practice Fax Number | 8019691291 |
| Mailing Telephone | 6503805939 |
| Enumeration Date | 2017-11-30 |
| Last Update Date | 2020-10-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
5698 W GLEN EAGLE DR |
| City | WEST VALLEY CITY |
| State | UT |
| Zip Code | 84128-4013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255566881 | James Tekulve Vann | Marriage & Family Therapist | 5698 W Glen Eagle Dr, West Valley City, UT 84128-4013 | 2009-05-27 |
| 1760098842 | Lloyd Joseph Stanton Jr. | Social Worker | 5698 W Glen Eagle Dr, West Valley City, UT 84128-4013 | 2020-09-23 |
| 1942813126 | Kelsey Lin Peterson | Social Worker | 5698 W Glen Eagle Dr, West Valley City, UT 84128-4013 | 2020-08-26 |
| 1083261747 | Rachel Beth Holt Wininger | Social Worker | 5698 W Glen Eagle Dr, West Valley City, UT 84128-4013 | 2019-08-19 |
| 1568925386 | Aubrae Putnam | Counselor | 5698 W Glen Eagle Dr, West Valley City, UT 84128-4013 | 2019-04-09 |
| 1407337116 | Katarina Dushku | Counselor | 5698 W Glen Eagle Dr, West Valley City, UT 84128-4013 | 2018-08-22 |
| 1417447400 | Angela Michelle Demelo | Social Worker | 5698 W Glen Eagle Dr, West Valley City, UT 84128-4013 | 2018-05-15 |
| 1114357712 | Trenton Keppner | Student in an Organized Health Care Education/Training Program | 5698 W Glen Eagle Dr, West Valley City, UT 84128-4013 | 2013-11-18 |
| 1427488436 | Vanessa Lagemann | Social Worker | 5698 W Glen Eagle Dr, West Valley City, UT 84128-4013 | 2013-11-13 |
| 1558794768 | Adam Adair Green | Marriage & Family Therapist | 5698 W Glen Eagle Dr, West Valley City, UT 84128-4013 | 2013-08-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437572526 | Aimee E Wetzel | Social Worker | 5698 S Glen Eagle Dr, West Valley, UT 84128 | 2014-01-27 |
| 1285903641 | Tu Phan | Pharmacist | 5630 W 4100 South, West Valley City, UT 84128 | 2011-12-14 |
| 1548342553 | Lds Family Services | Counselor | 5698 West Glen Eagle Drive, West Valley City, UT 84128 | 2006-10-19 |
| 1003465725 | Alisa L Harmon | Counselor | Lds Family Services, 5698 Glen Eagle Drive, West Valley City, UT 84128 | 2019-09-05 |
| 1871053199 | Amir Varedi | Student in an Organized Health Care Education/Training Program | 3100 N. Tenaya Way, Graduate Medical Education, Las Vegas, NV 84128-0431 | 2019-03-22 |
| 1417135617 | Tina M Chandler | Dietitian, Registered | 3022 Kapford Dr, West Valley City, UT 84128-1374 | 2008-02-11 |
| 1629415559 | Siuea Pete Kupu | Pharmacist | 3571 S Highlander St, Salt Lake City, UT 84128-2317 | 2013-06-01 |
| 1467731182 | Celia Moleni Ale | Social Worker | 6471 W Newton Farm Dr, West Valley, UT 84128-2408 | 2011-08-11 |
| 1053942466 | Brenda M Woodhouse | Nutritionist | 6104 W Ginny Cir, West Valley, UT 84128-2530 | 2020-02-04 |
| 1245290691 | Rick Hackford | Specialist/Technologist | 6270 W 3705 S, West Valley City, UT 84128-2560 | 2006-03-27 |
| Find all providers in zip 84128 | ||||
| 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 |
|---|---|---|---|---|
| 1528515798 | Christina Jeanne Jeffery Cackler | Counselor | 2830 S Redwood Rd Ste C, West Valley City, UT 84119-2381 | 2016-09-06 |
| 1124326889 | Isabel Medellin | Counselor | 4621 Cape Ridge Ln, West Valley City, UT 84128-5626 | 2011-03-04 |
| 1972801959 | Robert F Hernandez | Counselor | 3185 W 3650 S Apt A, West Valley City, UT 84119-4311 | 2011-03-01 |
| 1548342553 | Lds Family Services | Counselor | 5698 West Glen Eagle Drive, West Valley City, UT 84128 | 2006-10-19 |
| 1972101384 | Anjelica Montesdeoca | Counselor | 2655 S Lake Erie Dr, West Valley City, UT 84120-7350 | 2020-10-16 |
| 1407337116 | Katarina Dushku | Counselor | 5698 W Glen Eagle Dr, West Valley City, UT 84128-4013 | 2018-08-22 |
| 1598245425 | Blake Turner | Counselor | 2621 S 3270 W, West Valley City, UT 84119-1119 | 2018-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083213383 | Stephanie Heinhold | Counselor | 5934 W Bella Rosa Cv, Herriman, UT 84096-1791 | 2020-10-19 |
| 1780281519 | Sitti Suhardi | Counselor | 2550 S Main St Apt 1307, Salt Lake City, UT 84115-3071 | 2020-10-05 |
| 1487261848 | Jon Nathan Jensen | Counselor | 1025 W 450 N, Provo, UT 84601-2518 | 2020-09-29 |
| 1245846815 | Denielle Renee Johnson | Counselor | 944 N Main, Nephi, UT 84648-1002 | 2020-09-19 |
| 1801400015 | Tyra Mae Vance | Counselor | 3375 S 880 E, Salt Lake City, UT 84106 | 2020-09-04 |
| 1033721394 | Salt Lake Therapy Collective | Counselor | 311 S 900 E Ste 103, Salt Lake City, UT 84102-2491 | 2020-08-18 |
| 1164040614 | Mark E Hutchinson | Counselor | 5047 S Galleria Drive, Murray, UT 84123 | 2020-07-10 |
| 1053959601 | Mckenzie Morgan | Counselor | 1240 E 100 S Bldg 22 #221, St George, UT 84790-3001 | 2019-12-13 |
| 1255977401 | Emma Diane Farmer | Counselor | 1505 N 1275 E, Layton, UT 84040-8331 | 2019-11-22 |
| 1467096537 | Mindy Jolene Wright | Counselor | 944 N Main St, Nephi, UT 84648-1002 | 2019-11-01 |
| Find all providers with the same taxonomy | ||||
| City | WEST VALLEY CITY |
| Zip Code | 84128 |
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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.