DAVE MANGUM (NPI# 1386115491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386115491 |
| Entity Type | Individual |
| Full Name | DAVE MANGUM |
| Credential | CMHC |
| Practice Address |
7069 S Highland Dr Ste 100 Cottonwood Heights UT 84121-3731 |
| Mailing Address |
510 E 9800 S Sandy UT 84070-3546 |
| Practice Telephone | 8017930600 |
| Mailing Telephone | 8017930600 |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2018-12-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
8460542-6004 | UT | Behavioral Health & Social Service Providers |
| Street Address |
7069 S HIGHLAND DR STE 100 |
| City | COTTONWOOD HEIGHTS |
| State | UT |
| Zip Code | 84121-3731 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629601828 | Kristin Robinson LLC | Psychologist | 7069 S Highland Dr Ste 100, Cottonwood Heights, UT 84121-3731 | 2020-02-16 |
| 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 | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477171866 | Martha Katalin Wyld | Counselor | 7069 S Highland Dr Ste 115, Cottonwood Heights, UT 84121-3731 | 2020-07-11 |
| 1093273708 | Anna O'hearon | Counselor | New Roads Behavioral Health, 2450 Fort Union Blvd, Cottonwood Heights, UT 84121 | 2019-03-12 |
| 1760975726 | Jed Thorpe | Counselor | 8420 S Wasatch Blvd, Cottonwood Heights, UT 84121-6043 | 2018-06-13 |
| 1306252267 | Megan Sturdevant | Counselor | 3606 E 9050 S, Cottonwood Heights, UT 84093-5951 | 2014-07-10 |
| 1336488865 | Camille H Downing | Counselor | 2100 E Bengal Blvd, F 302, Cottonwood Heights, UT 84121-7135 | 2013-02-04 |
| 1922377308 | John Stayner Landward | Counselor | 3433 E 7590 S, Cottonwood Heights, UT 84121-5439 | 2011-12-14 |
| 1669770343 | Jennifer Michelle Miller | Counselor | 2100 Bengal Blvd # H340, Cottonwood Heights, UT 84121-7135 | 2011-03-04 |
| 1073168456 | Treeview Street Counseling Services, LLC | Counselor | 1225 E Fort Union Blvd Ste 120, Cottonwood Heights, UT 84047-1881 | 2019-08-02 |
| 1861910549 | Nicole Shaw | Counselor | 2450 E Fort Union Blvd, Cottonwood Heights, UT 84121-3337 | 2017-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750262 | Nathan Haslam | Counselor | 636 E Roosevelt Ave, Salt Lake City, UT 84105-2121 | 2020-11-06 |
| 1962003541 | Allison Lee | Counselor | 565 S Post St, Salt Lake City, UT 84104-1346 | 2020-11-02 |
| 1114526654 | Nancie Ann Silva-dahl | Counselor | 1422 S Barley Dr, Spanish Fork, UT 84660-6105 | 2020-10-24 |
| 1699374439 | Heidemarie Lex | Counselor | 3125 E Kennedy Dr Apt 605, Salt Lake City, UT 84108-2156 | 2020-10-22 |
| 1174138143 | Balance Counseling, Pllc | Counselor | 802 E Bamberger Dr, American Fork, UT 84003-2184 | 2020-09-15 |
| 1184239337 | Dara Larsen | Counselor | 923 S River Rd Ste 204, Saint George, UT 84790-2288 | 2020-09-14 |
| 1851905939 | Brenda Somers | Counselor | 564 Cross St, Ogden, UT 84404-5071 | 2020-09-04 |
| 1477166759 | Utah Infertility Resource Center | Counselor | 1565 E 3300 S, Salt Lake City, UT 84106-3370 | 2020-08-26 |
| 1932710837 | Amanda Kathleen Blume | Counselor | 84 W 4800 S Ste 100, Murray, UT 84107-3781 | 2020-08-13 |
| 1104437623 | Counseling for Success Inc | Counselor | 166 N 300 W Ste 4, St George, UT 84770-2770 | 2020-08-10 |
| Find all providers with the same taxonomy | ||||
| City | COTTONWOOD HEIGHTS |
| 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.