SYNERGISM COUNSELING, LLC (NPI# 1124313481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124313481 |
| Entity Type | Organization |
| Organization Name | SYNERGISM COUNSELING, LLC |
| Practice Address |
11075 S State St Ste 16 Sandy UT 84070-5196 |
| Mailing Address |
Po Box 1292 Midway UT 84049-1292 |
| Practice Telephone | 8013501671 |
| Practice Fax Number | 8014466511 |
| Mailing Telephone | 8013501671 |
| Mailing Fax Number | 8014466511 |
| Enumeration Date | 2011-06-15 |
| Last Update Date | 2018-09-11 |
| Authorized Official Name | MRS. MICHELLE H GREENE (OWNER/THERAPIST) |
| Authorized Official Telephone | 8013501671 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 425 E 1200 S Ste L4, Heber City, UT 840323943 | 4359629335 | 8014466511 |
| Street Address |
11075 S STATE ST STE 16 |
| City | SANDY |
| State | UT |
| Zip Code | 84070-5196 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508971276 | Michelle H Greene | Social Worker | 11075 S State St Ste 16, Sandy, UT 84070-5196 | 2006-08-20 |
| 1912476995 | Holly Michelle Stone | Social Worker | 11075 S State St Ste 16, Sandy, UT 84070-5196 | 2018-11-19 |
| 1023590932 | Bean Counseling & Recovery LLC | Social Worker | 11075 S State St Ste 16, Sandy, UT 84070-5196 | 2018-09-06 |
| 1023536786 | Marycatherine Smith Psy.d. Incorporated | Psychologist | 11075 S State St Ste 16, Sandy, UT 84070-5196 | 2017-09-01 |
| 1083162226 | Tyler M. Stark, Lcmhc, Corp. | Community/Behavioral Health | 11075 S State St Ste 16, Sandy, UT 84070-5196 | 2016-09-16 |
| 1598115669 | Tyler Stark | Counselor | 11075 S State St Ste 16, Sandy, UT 84070-5196 | 2016-06-20 |
| 1356709968 | Jennifer Vanengelenhoven | Marriage & Family Therapist | 11075 S State St Ste 16, Sandy, UT 84070-5196 | 2016-02-10 |
| 1841313434 | David Jason Steed | Social Worker | 11075 S State St Ste 16, Sandy, UT 84070 | 2007-04-09 |
| 1295807105 | Marycatherine Smith | Psychologist | 11075 S State St Ste 16, Sandy, UT 84070-5196 | 2006-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639777568 | Megan Komatsu Inc. | Social Worker | 10815 700 East, Sandy, UT 84070 | 2020-10-13 |
| 1841803137 | Anywhere Care | Nurse Practitioner | 9980 S. 300 W. Suite 200, Sandy, UT 84070 | 2020-08-26 |
| 1245840552 | Kirandeep Kaur | Psychologist | 9678 700 E # 102, Sandy, UT 84070 | 2020-08-03 |
| 1740890961 | Elizabeth Lowe Madsen | Counselor | 9678 700 East Suite 102, Sandy, UT 84070 | 2020-08-03 |
| 1417597188 | Hayley Burr | Counselor | 8706 700 E, Suite 205, Sandy, UT 84070 | 2020-01-10 |
| 1821656422 | Karen Ritchie | Counselor | 9192 South 300 West, Sandy, UT 84070 | 2019-05-30 |
| 1679068159 | Derek Livingston | Counselor | 11075 State St #35, Sandy, UT 84070 | 2018-06-27 |
| 1891283735 | Alta Rx LLC. | Pharmacy | 9883 South 500 West, Sandy, UT 84070 | 2018-04-26 |
| 1790273704 | The Addiction Medicine Physicians Group, LLC | Registered Nurse | 9160 S 300 E. Ste 25, Sandy, UT 84070 | 2018-04-25 |
| 1841794765 | Caryn Beazel | Physical Therapist | 9350 150 E, Sandy, UT 84070 | 2018-03-23 |
| Find all providers in zip 84070 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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| 1376050237 | Agile Counseling | Clinic/Center | 45 W 9000 S Ste 1, Sandy, UT 84070-2047 | 2018-01-01 |
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| 1114353570 | Pl Hansen Counseling Inc | Clinic/Center | 8184 S Highland Dr, Suite C-8, Sandy, UT 84093-6477 | 2013-09-17 |
| 1720117914 | Wellspring Child and Family Counseling Center, LLC | Clinic/Center | 9678 S 700 E, Suite 102, Sandy, UT 84070-3592 | 2007-03-05 |
| 1669501219 | Wellspring Child and Family Counseling Center, LLC | Clinic/Center | 9678 S 700 E, Suite 102, Sandy, UT 84070-3592 | 2007-03-02 |
| 1659324572 | Lds Family Services | Clinic/Center | 625 E 8400 S, Sandy, UT 84070-0525 | 2006-05-19 |
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| 1407403983 | Haven Recovery LLC | Clinic/Center | 1474 W 2100 N, Pleasant Grove, UT 84062-9508 | 2019-08-20 |
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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.