INNOVATIVE COUNSELING (NPI# 1295067189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295067189 |
| Entity Type | Organization |
| Organization Name | INNOVATIVE COUNSELING |
| Practice Address |
5872 S 900 E Ste 185 Salt Lake City UT 84121-1676 |
| Mailing Address |
Po Box 12391 Ogden UT 84412-2391 |
| Practice Telephone | 8013470074 |
| Practice Fax Number | 8012691226 |
| Enumeration Date | 2010-02-03 |
| Last Update Date | 2015-02-17 |
| Authorized Official Name | SYLVIA BRUNISHOLZ (DIRECTOR) |
| Authorized Official Telephone | 8013470074 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 7562489-0160 | UT | Agencies |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | INNOVATIVE COUNSELING AND CONSULTING, INC. | 1063 14th Place Suite A, Des Moines, IA 50314 |
| Oregon Corporations, Companies and Business Names | INNOVATIVE COUNSELING ENTERPRISES | 2920 Sw Dolph Court Suite 1, Portland, OR 97219 |
| Colorado Business Entities | Innovative Counseling Services, LLC | 7600 E. Arapahoe Rd., Suite #303, Centennial, CO 80112 |
| Washington State Corporations | INNOVATIVE COUNSELING SERVICES, LLC | 707 W 7th Ave Ste 320a, Spokane, WA 99204-2833 |
| System for Award Management (SAM) Entities | INNOVATIVE COUNSELING SERVICES, PLLC | 1200 East Morehead St Ste 20, Charlotte, NC 28204-2850 |
| Virginia Business Entities | Innovative Counseling Solutions LLC | 106 Eagleton Cir, Moyock, North Carolina 27958 |
| Colorado Business Entities | Innovative Counseling, LLC. | 6454 South Quebec Street, Building 5, Centennial, CO 80111 |
| Street Address |
5872 S 900 E STE 185 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84121-1676 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285644682 | Mark W Lee | Family Medicine | 5872 S 900 E, #100, Salt Lake City, UT 84121-1676 | 2006-08-08 |
| 1063895126 | Quinlin T Card | Audiologist | 5872 S 900 E, Ste 175, Salt Lake City, UT 84121-1676 | 2015-07-07 |
| 1760884266 | Madison Splan | Physical Therapist | 5872 S 900 E, Suite 150, Salt Lake City, UT 84121-1676 | 2014-09-16 |
| 1548683410 | Mark Miles Passey Md PC | Clinic/Center | 5872 S 900 E, 250, Salt Lake City, UT 84121-1676 | 2014-01-29 |
| 1366748121 | Ruediger Tillmann Dds | Dentist | 5872 S 900 E, Ste 202, Salt Lake City, UT 84121-1676 | 2011-01-26 |
| 1013174739 | Sylvia Brunisholz | Social Worker | 5872 S 900 E, Ste 185, Salt Lake City, UT 84121-1676 | 2008-05-20 |
| 1972710390 | Lawrence W Lauro | Family Medicine | 5872 S 900 E, #100, Salt Lake City, UT 84121-1676 | 2007-05-16 |
| 1710074646 | Ruediger Tillmann | Dentist | 5872 S 900 E, 202, Salt Lake City, UT 84121-1676 | 2006-10-10 |
| 1073523551 | Maurice G Baker | Family Medicine | 5872 S 900 E, #100, Salt Lake City, UT 84121-1676 | 2006-08-08 |
| 1598775074 | Michael Andrew Gomez | Physician Assistant | 5872 S 900 E, #100, Salt Lake City, UT 84121-1676 | 2006-08-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407483522 | Kaitlyn Horne | Behavior Technician | 6910 S. Highland Drive, Cottonwood Heights, UT 84121 | 2020-03-26 |
| 1952936387 | Jared Wells | Behavior Technician | 6910 S Highland Drive, Cottonwood Heights, UT 84121 | 2020-03-05 |
| 1518591874 | Slc Plastic Surgery LLC | Plastic Surgery | 6686 Highland Drive, Cottonwood Heights, UT 84121 | 2020-02-26 |
| 1093273708 | Anna O'hearon | Counselor | New Roads Behavioral Health, 2450 Fort Union Blvd, Cottonwood Heights, UT 84121 | 2019-03-12 |
| 1053883181 | Charles Keller IIi | Pediatrics | 2198 S Yvonne Rd #344, Salt Lake City, UT 84121 | 2018-12-31 |
| 1669964516 | Marissa King | Specialist | 1141 E. 3900 S. Suite 150a, Salt Lake, UT 84121 | 2018-06-05 |
| 1376044313 | Slpd Cottonwood LLC | Dentist | 7167 South Highland Drive, 200, Cottonwood Heights, UT 84121 | 2018-02-26 |
| 1700315462 | Nelson & Tillmann Family Dentistry, PC | Dentist | 5872 S. 900 E. Ste 202, Salt Lake City, UT 84121 | 2017-06-07 |
| 1912430588 | Wasatch Midwifery and Wellness, LLC | Dietitian, Registered | 6440 S Wasatch Blvd, Ste 140, Holladay, UT 84121 | 2017-04-10 |
| 1407308331 | Tina Polgar | Registered Nurse | 6244 Highland Drive, Murray, UT 84121 | 2016-10-26 |
| Find all providers in zip 84121 | ||||
| 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 |
|---|---|---|---|---|
| 1639789464 | Enduring Connections Counseling Services LLC | Community/Behavioral Health | 4659 S Highland Dr, Salt Lake City, UT 84117-5137 | 2020-08-06 |
| 1033733001 | Jessica Jo Pllc | Community/Behavioral Health | 3527 S 1200 E, Salt Lake City, UT 84106-2425 | 2020-06-04 |
| 1467071407 | Cancer Wellness House, Inc. | Community/Behavioral Health | 59 S 1100 E, Salt Lake City, UT 84102-1508 | 2020-04-09 |
| 1942859707 | Madre Tierra Counseling & Consulting LLC | Community/Behavioral Health | 3763 S Secord St, Salt Lake City, UT 84115-4771 | 2019-09-05 |
| 1295389708 | Peaceful Solutions Counseling LLC | Community/Behavioral Health | 1399 S 700 E Ste 5, Salt Lake City, UT 84105-2161 | 2019-08-01 |
| 1689139198 | Mmtc | Community/Behavioral Health | 1411 W 1100 N, Salt Lake City, UT 84116-1634 | 2019-02-08 |
| 1891274429 | Crystal Tina Marie Amezquita | Community/Behavioral Health | 1141 E 3900 S Ste A150, Salt Lake City, UT 84124-1215 | 2018-08-14 |
| 1558840611 | Noble Soul Therapy | Community/Behavioral Health | 699 E South Temple # 300a, Salt Lake City, UT 84102-1142 | 2018-08-09 |
| 1932631116 | Mattison Therapeutic Consulting and Counseling | Community/Behavioral Health | 667 E Redondo Ave, Salt Lake City, UT 84105-3028 | 2017-03-28 |
| 1396281218 | Pat Brehl Lcsw LLC | Community/Behavioral Health | 439 E 900 S, Salt Lake City, UT 84111-4303 | 2017-01-17 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84121 |
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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.