ODYSSEY HOUSE OF UTAH (NPI# 1356669550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356669550 |
| Entity Type | Organization |
| Organization Name | ODYSSEY HOUSE OF UTAH |
| Practice Address |
344 E 100 S Suite 301 Salt Lake City UT 84111-1700 |
| Practice Telephone | 8013224257 |
| Practice Fax Number | 8013222831 |
| Mailing Telephone | 8013224257 |
| Mailing Fax Number | 8013222831 |
| Enumeration Date | 2010-05-12 |
| Last Update Date | 2010-05-12 |
| Authorized Official Name | ADAM COHEN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8014283449 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253J00000X | Foster Care Agency | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992148779 | Odyssey House of Utah | Community/Behavioral Health | 350 E 2100 S, Salt Lake City, UT 84115-2266 | 2013-04-11 |
| 1831474170 | Odyssey House of Utah | Substance Abuse Rehabilitation Facility | 344 E 100 S, Salt Lake City, UT 84111-1700 | 2011-10-19 |
| 1174807259 | Odyssey House of Utah | Substance Abuse Rehabilitation Facility | 344 E 100 S, Ste 301, Salt Lake City, UT 84111-1700 | 2011-10-06 |
| 1588985238 | Odyssey House of Utah | Substance Abuse Rehabilitation Facility | 340 E 100 S, Salt Lake City, UT 84111-1702 | 2010-06-17 |
| 1588984280 | Odyssey House of Utah | Substance Abuse Rehabilitation Facility | 68 S 600 E, Slc, UT 84102-1007 | 2010-06-03 |
| Street Address |
344 E 100 S SUITE 301 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84111-1700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033710702 | Alyssa Nikole Tisdale | Case Manager/Care Coordinator | 344 E 100 S, Salt Lake City, UT 84111-1700 | 2020-11-07 |
| 1275134074 | Tina Floyd | Case Manager/Care Coordinator | 344 E 100 S, Salt Lake City, UT 84111-1700 | 2020-11-06 |
| 1568063360 | Sylvia Anna Malinowski | Case Manager/Care Coordinator | 344 E 100 S, Salt Lake City, UT 84111-1700 | 2020-11-06 |
| 1346841392 | Kasia Fackrell | Case Manager/Care Coordinator | 344 E 100 S, Salt Lake City, UT 84111-1700 | 2020-11-05 |
| 1770184756 | Shayla Dawn Dinger | Case Manager/Care Coordinator | 344 E 100 S, Salt Lake City, UT 84111-1700 | 2020-11-05 |
| 1275134405 | Alicia Beth Zollinger | Case Manager/Care Coordinator | 344 E 100 S, Salt Lake City, UT 84111-1700 | 2020-11-04 |
| 1366043499 | Alyssa Butler | Case Manager/Care Coordinator | 344 E 100 S, Salt Lake City, UT 84111-1700 | 2020-11-04 |
| 1518568823 | Makinley Herrera | Case Manager/Care Coordinator | 344 E 100 S, Salt Lake City, UT 84111-1700 | 2020-11-03 |
| 1851992119 | Brooke Butcher | Case Manager/Care Coordinator | 344 E 100 S, Salt Lake City, UT 84111-1700 | 2020-11-03 |
| 1063012003 | Jasmine Jemima Miyako Garcia | Case Manager/Care Coordinator | 344 E 100 S, Salt Lake City, UT 84111-1700 | 2020-10-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316551336 | Mary Ann Rush | Case Manager/Care Coordinator | 334 E. 100 S., Slc, UT 84111 | 2020-09-08 |
| 1790396554 | Stephanie G Mishenko | Military Health Care Provider | 344e 100s, Slc, UT 84111 | 2020-08-13 |
| 1386264802 | Mckensee M Carter | Case Manager/Care Coordinator | 334 E 100 S, Salt Lake City, UT 84111 | 2020-04-24 |
| 1316421761 | Community Health Centers, Inc. | Social Worker | 610 S 200 E Ste #b, Salt Lake City, UT 84111 | 2018-09-21 |
| 1528545506 | Lauren Brittney Harman | Case Manager/Care Coordinator | 344 E. 100 S., Salt Lake City, UT 84111 | 2018-07-23 |
| 1851896484 | Shivani Chowdhary | Dentist | 370 E South Temple Ste 350, Salt Lake City, UT 84111 | 2018-03-26 |
| 1801390661 | Jaylee Marie Watman | Case Manager/Care Coordinator | 344 E. 100 S. Ste 301, Salt Lake City, UT 84111 | 2018-03-19 |
| 1467963918 | Victoira Julia Graham | Case Management | 344 East 100 South Ste 301, Salt Lake City, UT 84111 | 2017-10-23 |
| 1750805404 | Kayla Hymas | Behavioral Analyst | 243 E. 400 S., Slc, UT 84111 | 2017-08-02 |
| 1134643224 | Julie Peaslee | Counselor | 275 E South Temple Ste 110, Salt Lake City, UT 84111 | 2017-07-31 |
| Find all providers in zip 84111 | ||||
| Taxonomy Code | 253J00000X |
| Grouping | Agencies |
| Classification | Foster Care Agency |
| A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as "24-hour substitute care for children outside their own homes." Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes. |
| Notes: Source: Code Of Federal Regulations, Title 45, Volume 4, Part 1355, Section 57 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154852507 | Wade Thomson | Foster Care Agency | 1363 S State St Ste 140, Salt Lake City, UT 84115-5540 | 2017-03-27 |
| 1396157350 | Brittany Lee Coleman | Foster Care Agency | 3900 S 200 E, Suite 16, Salt Lake City, UT 84107 | 2014-05-27 |
| 1598076598 | Child & Family Empowerment Services LLC | Foster Care Agency | 1578 W 1700 S Ste 103, Salt Lake City, UT 84104-3490 | 2010-06-24 |
| 1700106903 | Stepping Stones Child Placement Agency | Foster Care Agency | 180 E 2100 S Ste 100, Salt Lake City, UT 84115-2300 | 2010-06-10 |
| 1730786856 | Nine's Foster Agency | Foster Care Agency | 6526 S Mount Whitney Ln, Salt Lake City, UT 84118-9362 | 2020-10-01 |
| 1356700108 | System of Care | Foster Care Agency | 195 N 1950 W, Salt Lake City, UT 84116-3100 | 2016-02-22 |
| 1225340656 | Sai, Inc | Foster Care Agency | 2480 S Main St, Suite 105, Salt Lake City, UT 84115-3058 | 2010-07-14 |
| 1417268673 | Ensign Peak Services, Inc. | Foster Care Agency | 2880 W 4700 S, Suite B, Salt Lake City, UT 84118-2156 | 2010-06-23 |
| 1508186933 | Millcreek Child & Family Services | Foster Care Agency | 2766 E 3300 S, Salt Lake City, UT 84109-2819 | 2010-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922492057 | Live for Life Cypress | Foster Care Agency | 3023 N Bronzewood Cir, Erda, UT 84074-3302 | 2015-03-26 |
| 1609274158 | Kt&t Venures | Foster Care Agency | 1140 36th St Ste 160, Ogden, UT 84403-2054 | 2014-12-16 |
| 1225449630 | Youthtrack, Inc | Foster Care Agency | 862 S Main Suite 4, Brigham City, UT 84302 | 2014-05-20 |
| 1093130130 | Brenda Tekell | Foster Care Agency | 862 S Main St Ste 201, Brigham City, UT 84302-3320 | 2014-02-26 |
| 1619399144 | Journey Counseling Center Salt Lake LLC | Foster Care Agency | 920 Columbia Ln, Provo, UT 84604-1320 | 2014-01-17 |
| 1568883387 | Strengthening Teens, LLC | Foster Care Agency | 165 N 1330 W Ste A1, Orem, UT 84057-5116 | 2013-12-20 |
| 1285065854 | Terie Wiederhold | Foster Care Agency | 704 N Sr 51, Spanish Fork, UT 84660-1385 | 2013-12-09 |
| 1164857892 | Journey Counseling Center Sanpete LLC | Foster Care Agency | 41 W 700 S, Ephraim, UT 84627-1524 | 2013-09-12 |
| 1427397439 | Gene Steve Lopez | Foster Care Agency | 255 Flint St, Layton, UT 84041-3616 | 2013-02-11 |
| 1275879959 | Joshua Dallon | Foster Care Agency | 739 W 500 S, Brigham City, UT 84302-2820 | 2012-12-27 |
| Find all providers with the same taxonomy | ||||
| City | SALT LAKE CITY |
| Zip Code | 84111 |
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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.