MOUNTAINSIDE COUNSELING SERVICES (NPI# 1013475169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013475169 |
| Entity Type | Organization |
| Organization Name | MOUNTAINSIDE COUNSELING SERVICES |
| Practice Address |
27 S Main St Ste 201 Layton UT 84041-3704 |
| Practice Telephone | 8018337536 |
| Mailing Telephone | 8018337536 |
| Enumeration Date | 2019-03-07 |
| Last Update Date | 2019-03-07 |
| Authorized Official Name | KIRSTEN JACOBSON (OWNER) |
| Authorized Official Telephone | 8018337536 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | 1730456104 | 05 |
| Street Address |
27 S MAIN ST STE 201 |
| City | LAYTON |
| State | UT |
| Zip Code | 84041-3704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700499183 | Grab Healthcare, LLC | Clinic/Center | 245 E 2150 N, Suite C, Layton, UT 84041 | 2020-08-26 |
| 1154961399 | Victoria Leeann Taylor | Massage Therapist | 716 Antelope Dr, Layton, UT 84041 | 2020-01-15 |
| 1184181505 | Brian Taylor Woodbury | Occupational Therapist | 471 Heritage Park Blvd. Ste #5, Layton, UT 84041 | 2019-02-21 |
| 1740756816 | Jacob C Juarez | Physician Assistant | 2084 N. 1700 W., Suite A, Layton, UT 84041 | 2018-10-16 |
| 1134637945 | Jodi Lynn Siri | Counselor | 365 W 1550 N Ste F, Layton, UT 84041 | 2018-01-15 |
| 1083128029 | Utah Cvs Pharmacy LLC | Pharmacy | 50 South Fort Lane, Layton, UT 84041 | 2017-11-29 |
| 1376057315 | Utah Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2000 W & W 1700 S Nec, Layton, UT 84041 | 2017-11-29 |
| 1912411992 | Live Strong House LLC | Counselor | 377 N. Marshall Way, Suite 1b, Layton, UT 84041 | 2017-11-28 |
| 1003326505 | Kenneth L Ernstrom | Pharmacist | 2065 N Robins Drive, Layton, UT 84041 | 2017-10-10 |
| 1356868319 | Utah Home Health and Hospice LLC | Family Medicine | 920 W Heritage Park Blvd Suite 120, Layton, UT 84041 | 2017-08-29 |
| Find all providers in zip 84041 | ||||
| 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 |
|---|---|---|---|---|
| 1891310058 | Jennifer Steele Christensen | Social Worker | 476 Heritage Park Blvd Ste 220, Layton, UT 84041-5679 | 2020-06-13 |
| 1154960185 | Jordan Bybeee | Social Worker | 377 Marshall Way, Layton, UT 84041-7378 | 2019-12-20 |
| 1932747169 | Haley Jex | Social Worker | 377 Marshall Way Ste 1, Layton, UT 84041-7378 | 2019-12-18 |
| 1588138937 | Kimberly Clayton Jensen | Social Worker | 893 Marshall Way, Layton, UT 84041-7387 | 2019-01-18 |
| 1962957282 | Heather Wyler | Social Worker | 1889 E Sunset Dr, Layton, UT 84040-5709 | 2016-08-16 |
| 1467839019 | Christne N D'arco | Social Worker | 2265 Valley View Dr, Layton, UT 84040 | 2015-05-04 |
| 1972937803 | Scott Legrand Munden | Social Worker | 12 N 875 W, Layton, UT 84041-4668 | 2013-08-27 |
| 1285971176 | Lisa Diane Schultz Johnson | Social Worker | 2363 N Hill Field Rd Ste 5, Layton, UT 84041-6910 | 2013-01-11 |
| 1548528896 | Jaime M Tracy | Social Worker | 1133 N Main St Ste 128, Layton, UT 84041-4830 | 2012-04-24 |
| 1205109352 | Kristina L Kelly Rose | Social Worker | 1086 E Highway 193 Ste 103, Layton, UT 84040-8589 | 2012-02-21 |
| Find all providers in LAYTON | ||||
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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.