LAKESIDE COUNSELING (NPI# 1245636430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245636430 |
| Entity Type | Organization |
| Organization Name | LAKESIDE COUNSELING |
| Practice Address |
2832 W 4700 S Suite A Taylorsville UT 84129-2155 |
| Mailing Address |
3311 S 4985 W West Valley City UT 84120-1700 |
| Practice Telephone | 8017037911 |
| Practice Fax Number | 8666140752 |
| Mailing Telephone | 8017037911 |
| Enumeration Date | 2014-11-14 |
| Last Update Date | 2020-02-21 |
| Authorized Official Name | CAROL ELAINE BUFFI (OWNER) |
| Authorized Official Telephone | 8017037911 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
351724-3501 | UT | Behavioral Health & Social Service Providers |
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | LAKESIDE COUNSELING CENTER, LLC | 1400 112th Ave Se Ste 100, Bellevue, WA 98004-6901 |
| New York State Corporations | LAKESIDE COUNSELING, JILL BOYER, LCSW, PLLC | Po Box 658, Skaneateles, New York 13152 |
| Street Address |
2832 W 4700 S SUITE A |
| City | TAYLORSVILLE |
| State | UT |
| Zip Code | 84129-2155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730150210 | Tammi Y. Ishimatsu | Social Worker | 2832 W 4700 S, Suite B, Taylorsville, UT 84129-2155 | 2006-01-31 |
| 1427448851 | T Ishimatsu Pllc | Social Worker | 2832 W 4700 S, Suite B, Taylorsville, UT 84129-2155 | 2015-01-23 |
| 1538440474 | Carol Elaine Buffi | Social Worker | 2832 W 4700 S, Suite A, Taylorsville, UT 84129-2155 | 2011-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891140331 | Caring for Kearns | Social Worker | 5525 S 4015 W, Suite #207 A & B, Taylorsville, UT 84129 | 2016-05-03 |
| 1386014116 | Rusty Scott Burns | Physician Assistant | 4745 South 3200 West, Oquirrh View Clinic, Taylorsville, UT 84129 | 2015-10-06 |
| 1013398817 | Clifford Simpson | Counselor | 4897 S Avant Cir, Taylorsville, UT 84129 | 2015-06-17 |
| 1912328576 | Heather Jenkins | Substance Abuse Rehabilitation Facility | 6200 South 3809 West, Kearns, UT 84129 | 2013-12-30 |
| 1184981201 | Intermountain Community Supports and Services, LLC | In Home Supportive Care | 5104 Heritage Cove, Taylorsville, UT 84129 | 2012-04-13 |
| 1093039521 | Chad Alan Spain | Family Medicine | 3745 West 4700 South, Family Practice, Taylorsville, UT 84129 | 2010-03-26 |
| 1396068342 | Lindsay Helena Wilson | Dermatology | 3845 West 4700 South, Intermountain Healthcare Taylorsville Clinic, Taylorsville, UT 84129 | 2010-03-04 |
| 1962962407 | Craig J Campbell Dpm PC | Durable Medical Equipment & Medical Supplies | 5255 S 4015 W, #140, Salt Lake City, UT 84129 | 2019-03-21 |
| 1851866735 | Katie Nicholls | Physician Assistant | 4745 S 3200 W, Taylorsville, UT 84129 | 2018-10-08 |
| 1962829374 | Spencer Tingey | Family Medicine | 3730 W 4700 S, Taylorsville, UT 84129 | 2014-03-24 |
| Find all providers in zip 84129 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437502093 | Gg Counseling Services, Inc | Community/Behavioral Health | 71 Running Creek Ct, Taylorsville, KY 40071-7246 | 2016-07-19 |
| 1003290057 | Turning Point Services, Inc. | Community/Behavioral Health | 68 Pop Davis Rd, Taylorsville, NC 28681-2680 | 2015-07-18 |
| 1750765954 | Turning Point Services, Inc. | Community/Behavioral Health | 438 Old Wilkesboro Rd, Taylorsville, NC 28681-2193 | 2015-07-17 |
| 1952642472 | Counseling and Support Associates, PC | Community/Behavioral Health | 121 E. Main Ave., Taylorsville, NC 28681 | 2013-03-07 |
| 1497006571 | Highland Rivers Community Service Board | Community/Behavioral Health | 167 Iron Hill Rd, Taylorsville, GA 30178-1402 | 2012-09-28 |
| 1053674887 | Barium Springs Home for Children | Community/Behavioral Health | 501 E Main Ave, Taylorsville, NC 28681-2728 | 2012-06-18 |
| 1821383019 | Rha Health Services, Inc | Community/Behavioral Health | 395 3rd Ave Sw, Taylorsville, NC 28681-4180 | 2011-06-15 |
| 1447393277 | Carolina Residential Services, Inc | Community/Behavioral Health | 933 W Main Ave, Taylorsville, NC 28681-2366 | 2007-02-14 |
| 1134580103 | Summit Community Counseling | Community/Behavioral Health | 5689 S Redwood Rd, Taylorsville, UT 84123-5447 | 2016-03-17 |
| 1619336393 | Rha Behavioral Health Nc LLC | Community/Behavioral Health | 395 3rd Ave Sw, Taylorsville, NC 28681-4180 | 2016-02-23 |
| Find all providers in TAYLORSVILLE | ||||
| City | TAYLORSVILLE |
| Zip Code | 84129 |
Please comment or provide details below to improve the information on LAKESIDE COUNSELING.
| 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.