JARED BRAITHWAITE (NPI# 1306467345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306467345 |
| Entity Type | Individual |
| Full Name | JARED BRAITHWAITE |
| Practice Address |
934 S Main St Layton UT 84041-7135 |
| Practice Telephone | 8017737060 |
| Mailing Telephone | 8017737060 |
| Enumeration Date | 2020-04-30 |
| Last Update Date | 2020-04-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
934 S MAIN ST |
| City | LAYTON |
| State | UT |
| Zip Code | 84041-7135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417931296 | Julie A. Wiese | Psychiatry & Neurology | 934 S Main St, Layton, UT 84041-7135 | 2005-12-05 |
| 1831790492 | Danielle Lexus Ortega | Community Health Worker | 934 S Main St, Layton, UT 84041-7135 | 2020-11-02 |
| 1861092116 | Paula Lee Moffitt | Registered Nurse | 934 S Main St, Layton, UT 84041-7135 | 2020-10-27 |
| 1235737693 | Shelby Close | Community Health Worker | 934 S Main St, Layton, UT 84041-7135 | 2020-10-16 |
| 1659979334 | Mikey Francisco Jaramillo | Community Health Worker | 934 S Main St, Layton, UT 84041-7135 | 2020-10-14 |
| 1841897436 | Jadrian Seana Mcdonough | Community Health Worker | 934 S Main St, Layton, UT 84041-7135 | 2020-10-06 |
| 1679170542 | Mara Elizabeth Jeffs | Community Health Worker | 934 S Main St, Layton, UT 84041-7135 | 2020-10-05 |
| 1194322073 | Hayden Harold Arave | Community Health Worker | 934 S Main St, Layton, UT 84041-7135 | 2020-10-05 |
| 1487251666 | Jordon Ashley Robinson | Social Worker | 934 S Main St, Layton, UT 84041-7135 | 2020-10-01 |
| 1093322778 | Makayla Marie Lee Richards | Community Health Worker | 934 S Main St, Layton, UT 84041-7135 | 2020-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700499183 | Grab Healthcare, LLC | Clinic/Center | 245 E 2150 N, Suite C, Layton, UT 84041 | 2020-08-26 |
| 1154961399 | Victoria Leeann Taylor | Massage Therapist | 716 Antelope Dr, Layton, UT 84041 | 2020-01-15 |
| 1184181505 | Brian Taylor Woodbury | Occupational Therapist | 471 Heritage Park Blvd. Ste #5, Layton, UT 84041 | 2019-02-21 |
| 1740756816 | Jacob C Juarez | Physician Assistant | 2084 N. 1700 W., Suite A, Layton, UT 84041 | 2018-10-16 |
| 1134637945 | Jodi Lynn Siri | Counselor | 365 W 1550 N Ste F, Layton, UT 84041 | 2018-01-15 |
| 1083128029 | Utah Cvs Pharmacy LLC | Pharmacy | 50 South Fort Lane, Layton, UT 84041 | 2017-11-29 |
| 1376057315 | Utah Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2000 W & W 1700 S Nec, Layton, UT 84041 | 2017-11-29 |
| 1912411992 | Live Strong House LLC | Counselor | 377 N. Marshall Way, Suite 1b, Layton, UT 84041 | 2017-11-28 |
| 1003326505 | Kenneth L Ernstrom | Pharmacist | 2065 N Robins Drive, Layton, UT 84041 | 2017-10-10 |
| 1356868319 | Utah Home Health and Hospice LLC | Family Medicine | 920 W Heritage Park Blvd Suite 120, Layton, UT 84041 | 2017-08-29 |
| Find all providers in zip 84041 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255977401 | Emma Diane Farmer | Counselor | 1505 N 1275 E, Layton, UT 84040-8331 | 2019-11-22 |
| 1669982138 | Jose Lee Castillo IIi | Counselor | 1102 N Fort Ln, Layton, UT 84041-2444 | 2017-10-10 |
| 1083093702 | Dc Corgiat LLC | Counselor | 1916 N 700 W Ste 190, Layton, UT 84041-5726 | 2015-05-27 |
| 1356741565 | Kristopher Todd Crowl | Counselor | 2340 N 800 W, Layton, UT 84041-4702 | 2014-08-26 |
| 1407256753 | Brandon Keenan Rease | Counselor | 78 W 1850 N, Layton, UT 84041-7818 | 2014-08-22 |
| 1235553736 | Robert O Hjorth | Counselor | 3108 N 2250 E, Layton, UT 84040-6531 | 2014-02-05 |
| 1508152885 | Jaclyn King Knapp | Counselor | 1492 W Antelope Drive, Ste 205, Layton, UT 84041 | 2011-06-24 |
| 1174824692 | Timothy Wayne Keffer | Counselor | 1176 N 350 W, Layton, UT 84041-4829 | 2010-11-15 |
| 1710295597 | Carrie Michele Merino | Counselor | 2600 N Hill Field Rd Trlr 105, Layton, UT 84041-1291 | 2010-09-15 |
| 1295358497 | Janae Olson | Counselor | 934 S Main St, Layton, UT 84041-7135 | 2020-05-21 |
| Find all providers in LAYTON | ||||
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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.