LIVE FOR LIFE ASPEN, LLC (NPI# 1073155529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073155529 |
| Entity Type | Organization |
| Organization Name | LIVE FOR LIFE ASPEN, LLC |
| Practice Address |
179 W Winchester St Murray UT 84107-7237 |
| Practice Telephone | 8016666834 |
| Enumeration Date | 2019-10-16 |
| Last Update Date | 2019-12-23 |
| Authorized Official Name | TROY SHAW (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8016666834 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Live for Life Aspen | Doing Business As Name - Organization |
| Street Address |
179 W WINCHESTER ST |
| City | MURRAY |
| State | UT |
| Zip Code | 84107-7237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891325502 | Peniueti Taufoou Jr. | Community Health Worker | 179 W Winchester St, Murray, UT 84107-7237 | 2020-01-22 |
| 1013556422 | Keith Gordon Taylor | Community Health Worker | 179 W Winchester St, Murray, UT 84107-7237 | 2020-01-02 |
| 1821637232 | Simon Faavaoga | Community Health Worker | 179 W Winchester St, Murray, UT 84107-7237 | 2020-01-02 |
| 1184263592 | Marc Raymond Hufnagel | Community Health Worker | 179 W Winchester St, Murray, UT 84107-7237 | 2020-01-02 |
| 1265071666 | Feanuga Koleti Savea | Community Health Worker | 179 W Winchester St, Murray, UT 84107-7237 | 2020-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410517 | Brielle Nicole Poulter | Student in an Organized Health Care Education/Training Program | 345 East 4500 So #260, Murray, UT 84107 | 2020-09-01 |
| 1467016592 | Ashlee Brown | Social Worker | C-134, 5284 Commerce Drive, Murray, Murray, UT 84107 | 2019-04-24 |
| 1568940633 | Samantha Duff | Occupational Therapist | 5770 S Fashion Blvd, Bldg 5 Ste 201, Murray, UT 84107 | 2018-08-01 |
| 1881185247 | Derek John Sharp | Occupational Therapist | 5770 S Fashion Blvd, Bldg #5, Suite 210, Murray, UT 84107 | 2018-05-22 |
| 1093223091 | Erin Nicole Hill | Counselor | 345 East 4500 South Suite 260, Murray, UT 84107 | 2018-01-12 |
| 1588171219 | Nicole Danielle Jensen | Counselor | 345 East 4500 South, Suite 260, Murray, UT 84107 | 2018-01-03 |
| 1043725799 | Greater Endodontics LLC | Dentist | 5334 South Woodrow Street, Suite 201, Salt Lake City, UT 84107 | 2017-12-04 |
| 1043739667 | Karyn K Hodge | Audiologist | 4500 So. 777. E. Ste #110, Murray, UT 84107 | 2017-09-14 |
| 1912426750 | Brandon C Burton | Specialist/Technologist, Other | Cta Community Supports 4444 S, 700 E Suite 203, Salt Lake City, UT 84107 | 2017-09-13 |
| 1396261152 | Megan Lehane Delano | Plastic Surgery | 5169 Cottonwood St Ste 420, Murray, UT 84107 | 2017-08-14 |
| Find all providers in zip 84107 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932710837 | Amanda Kathleen Blume | Counselor | 84 W 4800 S Ste 100, Murray, UT 84107-3781 | 2020-08-13 |
| 1841808797 | Hayley Adams | Counselor | 6649 S Tripp View Ln, Murray, UT 84123-6637 | 2020-07-16 |
| 1356983399 | Green Willow Counseling, LLC | Counselor | 5802 S 900 E Ste 9, Murray, UT 84121-1644 | 2019-10-10 |
| 1215591292 | Carolyn Scott | Counselor | 1121 E Vine St, Murray, UT 84121-1735 | 2019-04-25 |
| 1033673900 | Emily Johnson Ott | Counselor | 650 E 4500 S Ste 30, Murray, UT 84107-2900 | 2019-01-25 |
| 1760968192 | Ashley Creer | Counselor | 5818 S 900 E, Murray, UT 84121-1644 | 2018-07-18 |
| 1417456401 | Brent Keeler Shuster | Counselor | 111 E 5600 S Ste 304, Murray, UT 84107-8174 | 2018-02-06 |
| 1093223091 | Erin Nicole Hill | Counselor | 345 East 4500 South Suite 260, Murray, UT 84107 | 2018-01-12 |
| 1588171219 | Nicole Danielle Jensen | Counselor | 345 East 4500 South, Suite 260, Murray, UT 84107 | 2018-01-03 |
| 1689115917 | Danyelle Kristin Day | Counselor | 1712 Highway 121 Byp N, Suite I, Murray, KY 42071-8864 | 2017-03-20 |
| Find all providers in MURRAY | ||||
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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.