MAREN MAURINE ERNSTROM (NPI# 1396258695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396258695 |
| Entity Type | Individual |
| Full Name | MAREN MAURINE ERNSTROM |
| Credential | CMHC |
| Practice Address |
1481 E Pioneer Rd Draper UT 84020-9623 |
| Practice Telephone | 8016614875 |
| Mailing Telephone | 8016614875 |
| Enumeration Date | 2017-11-08 |
| Last Update Date | 2017-11-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
8152182-6004 | UT | Behavioral Health & Social Service Providers |
| Street Address |
1481 E PIONEER RD |
| City | DRAPER |
| State | UT |
| Zip Code | 84020-9623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891955910 | Monica Sue Polk | Psychiatry & Neurology | 1481 E Pioneer Rd, Draper, UT 84020-9623 | 2008-06-12 |
| 1184134868 | Charmele Melissa Nish | Counselor | 1481 E Pioneer Rd, Draper, UT 84020-9623 | 2017-10-06 |
| 1538679212 | Eric Paul Norman | Counselor | 1481 E Pioneer Rd, Draper, UT 84020-9623 | 2017-10-06 |
| 1932618873 | Care One Partners LLC | Clinic/Center | 1481 E Pioneer Rd, Draper, UT 84020-9623 | 2017-09-22 |
| 1932618113 | Erica Anne Peterson | Registered Nurse | 1481 E Pioneer Rd, Draper, UT 84020-9623 | 2017-09-20 |
| 1821473224 | Deer Hollow Recovery | Substance Abuse Rehabilitation Facility | 1481 E Pioneer Rd, Draper, UT 84020-9623 | 2015-07-27 |
| 1598105728 | Amy Crawford | Marriage & Family Therapist | 1481 E Pioneer Rd, Draper, UT 84020 | 2013-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194322776 | Chase Larsen Dmd Pllc | Dentist | 723 E 12200 S, Draper, UT 84020 | 2020-10-06 |
| 1780222380 | Derek Cragun | Counselor | 11706 700 E, Draper, UT 84020 | 2019-12-13 |
| 1720629371 | Own My Health Medical | Clinic/Center | 12371 900 E, Suite 102, Draper, UT 84020 | 2019-10-04 |
| 1508418856 | Thomas Mifflin | Physician Assistant | 721 East 12200 South, Draper, UT 84020 | 2019-07-16 |
| 1124670872 | Necia Dalley | Registered Nurse | 11800 S State St, Draper, UT 84020 | 2019-07-12 |
| 1285100784 | Tracey M Williams | Psychologist | 13200 S 1601 E, Draper, UT 84020 | 2018-10-23 |
| 1275008328 | Amoni Paeahelotu Finau | Community Health Worker | 13703 Wheatfield Way, Draper, UT 84020 | 2018-10-04 |
| 1891275525 | Cynthia Mae Bolton | Psychologist | 1192 E Draper Parkway # 447, Draper, UT 84020 | 2018-08-21 |
| 1164908026 | Headin' Home Inc. | Community/Behavioral Health | 12300 S. 150 W., Draper, UT 84020 | 2018-07-13 |
| 1366932576 | Forest Hulet | Dentist | 219 E 12300, Ste I-5, Draper, UT 84020 | 2018-05-14 |
| Find all providers in zip 84020 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316565195 | Dennis Vibert Woodruff | Counselor | 11576 S State St Ste 303, Draper, UT 84020-7112 | 2020-07-08 |
| 1629693122 | Jared Blaine Twitchell | Counselor | 12397 S 300 E Ste 100, Draper, UT 84020-8274 | 2020-06-10 |
| 1063035152 | Holly Joy Nelson | Counselor | 11894 S Landou Dr, Draper, UT 84020-6805 | 2020-05-22 |
| 1780222380 | Derek Cragun | Counselor | 11706 700 E, Draper, UT 84020 | 2019-12-13 |
| 1255978607 | Brian Lewis | Counselor | 138 E 12300 S Ste C188, Draper, UT 84020-7976 | 2019-12-04 |
| 1235771411 | David Zane | Counselor | 13268 S Aintree Ave, Draper, UT 84020-8831 | 2019-10-09 |
| 1750936605 | Aleksandra Sinclair | Counselor | 2046 E Eagle Crest Dr, Draper, UT 84020-5705 | 2019-08-07 |
| 1720438005 | Steve Merrin | Counselor | 12548 S 150 E, Draper, UT 84020-8611 | 2016-06-16 |
| 1801207477 | Advantage Counseling Services | Counselor | 11587 S State Street, 1001, Draper, UT 84020 | 2014-05-16 |
| 1922437177 | Jeff Horton | Counselor | 11576 S State St Ste 102a, Draper, UT 84020-7121 | 2013-11-08 |
| Find all providers in DRAPER | ||||
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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.