MOUNT OLYMPUS COUNSELING CENTER, INC. (NPI# 1053910331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053910331 |
Entity Type | Organization |
Organization Name | MOUNT OLYMPUS COUNSELING CENTER, INC. |
Practice Address |
4525 S 2300 E Ste 102 Holladay UT 84117-4682 |
Practice Telephone | 8018607818 |
Mailing Telephone | 8018607818 |
Enumeration Date | 2020-10-19 |
Last Update Date | 2020-10-19 |
Authorized Official Name | KENNETH DAVID ROACH (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 8017927028 |
Authorized Official Credential | ED.D, LCMHC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
Street Address |
4525 S 2300 E STE 102 |
City | HOLLADAY |
State | UT |
Zip Code | 84117-4682 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063052256 | Abundant Dental Care, P.C. | Dentist | 1548 E 4500 S #104, Holladay, UT 84117 | 2020-01-15 |
1578127221 | Signature Utah Dental Partners PC | Clinic/Center | 2240 E Murray Holladay Rd, Holladay, UT 84117 | 2019-04-29 |
1700392974 | Marette Monson, LLC | Community/Behavioral Health | 2180 East 4500 South, Suite 105, Holladay City, UT 84117 | 2017-12-23 |
1942714639 | Harmon City Inc | Pharmacy | 4675 South Holladay Blvd, Holladay, UT 84117 | 2017-11-17 |
1881119444 | Brianna Stewart | Physical Medicine & Rehabilitation | 5151 South 900 East, Suite 100, Salt Lake City, UT 84117 | 2017-08-04 |
1861842874 | Whitney Aste | Dentist | 1548 E 4500 S Ste 104, Salt Lake City, UT 84117 | 2016-06-21 |
1922403765 | Tri-peak, Pllc | Psychologist | 4535 S 2300 E, Suite B, Salt Lake City, UT 84117 | 2014-10-22 |
1356689566 | Mckenzie Vierig | Marriage & Family Therapist | 4568 S Highland Dr Ste 380, Millcreek, UT 84117 | 2013-01-22 |
1821348640 | Fabiola Marquez Jamieson | Social Worker | 4500 S 2180 E, Suite 165, Holladay, UT 84117 | 2012-09-19 |
1073882882 | Amy Rose White | Social Worker | 4500 South 2180 East, Suite 165, Holladay, UT 84117 | 2011-12-22 |
Find all providers in zip 84117 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659912574 | Lifematters Counseling and Health Center, Inc | Counselor | 2225 E Murray Holladay Rd Ste 112, Holladay, UT 84117-5345 | 2019-10-02 |
1538622675 | Evnsq, LLC | Counselor | 5170 S Highland Dr, Holladay, UT 84117-7048 | 2019-04-06 |
1225569718 | Alex Franklin Runolfson | Counselor | 2220 E Murray Holladay Rd, Unit 186, Holladay, UT 84117-5377 | 2017-03-25 |
1497177737 | Nicole M Bennett | Counselor | 1910 E Spring Ln, Holladay, UT 84117-7023 | 2014-01-06 |
1861624108 | James Kimball Smith | Counselor | 2899 Branch Dr, Holladay, UT 84117-5501 | 2009-08-20 |
1356588834 | Bwl Enterprise | Counselor | 925 Executive Park Dr, Suite E, Holladay, UT 84117-3581 | 2009-01-21 |
1215252028 | Jennifer Millar Bevan | Counselor | 4527 S 2300 E, Suite 206, Holladay, UT 84117-4446 | 2010-04-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437750262 | Nathan Haslam | Counselor | 636 E Roosevelt Ave, Salt Lake City, UT 84105-2121 | 2020-11-06 |
1962003541 | Allison Lee | Counselor | 565 S Post St, Salt Lake City, UT 84104-1346 | 2020-11-02 |
1114526654 | Nancie Ann Silva-dahl | Counselor | 1422 S Barley Dr, Spanish Fork, UT 84660-6105 | 2020-10-24 |
1699374439 | Heidemarie Lex | Counselor | 3125 E Kennedy Dr Apt 605, Salt Lake City, UT 84108-2156 | 2020-10-22 |
1174138143 | Balance Counseling, Pllc | Counselor | 802 E Bamberger Dr, American Fork, UT 84003-2184 | 2020-09-15 |
1184239337 | Dara Larsen | Counselor | 923 S River Rd Ste 204, Saint George, UT 84790-2288 | 2020-09-14 |
1851905939 | Brenda Somers | Counselor | 564 Cross St, Ogden, UT 84404-5071 | 2020-09-04 |
1477166759 | Utah Infertility Resource Center | Counselor | 1565 E 3300 S, Salt Lake City, UT 84106-3370 | 2020-08-26 |
1932710837 | Amanda Kathleen Blume | Counselor | 84 W 4800 S Ste 100, Murray, UT 84107-3781 | 2020-08-13 |
1104437623 | Counseling for Success Inc | Counselor | 166 N 300 W Ste 4, St George, UT 84770-2770 | 2020-08-10 |
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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.