MARY GULLY (NPI# 1235558180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235558180 |
| Entity Type | Individual |
| Full Name | MARY GULLY |
| Practice Address |
177 W Price Ave Salt Lake City UT 84115-4345 |
| Practice Telephone | 3854684548 |
| Mailing Telephone | 3854684548 |
| Enumeration Date | 2014-04-08 |
| Last Update Date | 2014-04-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | 876000316 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952852170 | Mary Gully | Counselor | 3201 Knight St, Apt. 207, Shreveport, LA 71105-2706 | 2016-10-24 |
| Street Address |
177 W PRICE AVE |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84115-4345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275837288 | Morgan Vern Snow | Social Worker | 177 W Price Ave, Salt Lake City, UT 84115-4345 | 2011-01-05 |
| 1114552726 | Brandi Sandoval | Counselor | 177 W Price Ave, Salt Lake City, UT 84115-4345 | 2020-03-04 |
| 1568926186 | Timothy Andrew Aragon | Social Worker | 177 W Price Ave, Salt Lake City, UT 84115-4345 | 2019-01-28 |
| 1538666102 | Caitlin Adams | Social Worker | 177 W Price Ave, Salt Lake City, UT 84115-4345 | 2018-04-10 |
| 1407300379 | Drew Barton | Social Worker | 177 W Price Ave, Salt Lake City, UT 84115-4345 | 2016-08-09 |
| 1407254261 | Salt Lake County Division of Youth Services | Community/Behavioral Health | 177 W Price Ave, Salt Lake City, UT 84115-4345 | 2014-12-10 |
| 1407263528 | Sam Huppi | Social Worker | 177 W Price Ave, Salt Lake City, UT 84115-4345 | 2014-07-21 |
| 1639589344 | Salt Lake County Youth Services | Community Based Residential Treatment Facility, Mental Illness | 177 W Price Ave, Salt Lake City, UT 84115-4345 | 2014-05-02 |
| 1104268440 | Maria Laura Drummond | Specialist | 177 W Price Ave, Salt Lake City, UT 84115-4345 | 2013-07-29 |
| 1336584085 | Satl Lake County | Case Manager/Care Coordinator | 177 W Price Ave, Salt Lake City, UT 84115-4345 | 2013-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396344198 | Shannon Ballinger | Clinic/Center | 1470 400 W, Salt Lake City, UT 84115 | 2020-10-22 |
| 1992346704 | Anicka Inc | Clinic/Center | 3195 South Main St, Ste 260, South Salt Lake, UT 84115 | 2019-10-02 |
| 1083177505 | Vitor Gabriel Giuliani Alcantara Carioca | Specialist/Technologist | 1850 South Campus Drive, Salt Lake City, UT 84115 | 2019-04-11 |
| 1427528371 | Samuel James Leonhart | Behavior Technician | 354 East Coatsville Drive, Salt Lake City, UT 84115 | 2018-12-04 |
| 1093228645 | Eco Pharmacy LLC | Pharmacy | 3702 S State Street Suite 115, South Salt Lake City, UT 84115 | 2017-11-06 |
| 1568973055 | Eco Apothecary LLC | Pharmacy | 3701 S State Street Suite 114, South Salt Lake City, UT 84115 | 2017-10-24 |
| 1548780455 | Kelly Lund | Case Manager/Care Coordinator | 447 W. Bearcat Dr., Salt Lake City, UT 84115 | 2017-06-21 |
| 1104271238 | The Church of Philadelphia Inc. | Community/Behavioral Health | 2358 South Main Street, Salt Lake City, UT 84115 | 2016-04-26 |
| 1710368626 | Jennifer Swanhild Edwards | Counselor | 140 W 2100 S Ste 244, Salt Lake City, UT 84115 | 2015-06-16 |
| 1508247065 | John Mcguire | Health Educator | 1370 S. West Temple, Salt Lake City, UT 84115 | 2015-06-10 |
| Find all providers in zip 84115 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568062537 | Phillip Smith | Case Management | 230 W 400 S, Salt Lake City, UT 84101-1829 | 2020-10-29 |
| 1467963918 | Victoira Julia Graham | Case Management | 344 East 100 South Ste 301, Salt Lake City, UT 84111 | 2017-10-23 |
| 1629515044 | Care 2 Care Services | Case Management | 451 E Bishop Federal Ln Ste 150, Salt Lake City, UT 84115-2357 | 2017-01-24 |
| 1861814436 | J.d. Case Management, Inc. | Case Management | 1897 E Bosham Ln, Salt Lake City, UT 84106-4055 | 2014-01-15 |
| 1174862205 | Advocates for Independence LLC | Case Management | 152 W Burton Avenue, Suite G, Salt Lake City, UT 84115 | 2013-02-08 |
| 1497079719 | Fiduciary Holdings Group, Inc. | Case Management | 2995 S West Temple, Suite A, Salt Lake City, UT 84115-3658 | 2010-03-15 |
| 1659601599 | Utah Patient Advocates, Inc | Case Management | 841 S 500 E, Apt 7, Salt Lake City, UT 84102-3378 | 2009-12-26 |
| 1225283666 | Somali Bantu Association of Utah | Case Management | 1133 Arapahoe Ave, Apt. A, Salt Lake City, UT 84104-2423 | 2008-11-26 |
| 1164579355 | County of Salt Lake | Case Management | 1992 S 200 E, Salt Lake City, UT 84115-2459 | 2007-01-03 |
| 1033212840 | The Road Home | Case Management | 210 S Rio Grande St, Salt Lake City, UT 84101-1104 | 2006-09-07 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84115 |
Please comment or provide details below to improve the information on MARY GULLY.
| 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.