BETHANY MARIE BRECK (NPI# 1407373426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407373426 |
| Entity Type | Individual |
| Full Name | BETHANY MARIE BRECK |
| Other Name | BETHANY MARIE WOOD |
| Practice Address |
3740 S Market Center Drive #1200 Riverton UT 84065 |
| Practice Telephone | (801) 240-9436 |
| Mailing Telephone | 8012409436 |
| Enumeration Date | 2017-08-30 |
| Last Update Date | 2017-08-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
3740 S MARKET CENTER DRIVE #1200 |
| City | RIVERTON |
| State | UT |
| Zip Code | 84065 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972248 | William Lance Andersen | Pharmacist | 1202 W 12600 W, Riverton, UT 84065 | 2020-11-02 |
| 1275172678 | Dentists of Riverton, LLP | Dentist | 4531 W. Partridgehill Lane, Suite F-110, Riverton, UT 84065 | 2020-01-02 |
| 1194201467 | Patrick Kunkel | Dentist | 12569 2700 W, #100, Riverton, UT 84065 | 2018-07-19 |
| 1790274546 | Harmon City Inc | Pharmacy | 13330 South Kestrel Range Road, Riverton, UT 84065 | 2018-05-08 |
| 1386147767 | Richard Hayes Johnston | Counselor | 3740 S Market Center Dr #1200, Riverton, UT 84065 | 2018-03-13 |
| 1023537156 | Brenda Fuell | Dental Hygienist | 12959 South Picket Fence Lane, Riverton, UT 84065 | 2017-09-09 |
| 1952848509 | Renaissance Ranch Bluffdale Women's Program | Substance Abuse Rehabilitation Facility | 2356 Thunderhead Way, Bluffdale, UT 84065 | 2017-01-20 |
| 1053856229 | Bradford Scott Bentley Jr. | Physical Therapist | 3741 W 12600 S, Ste 100, Riverton, UT 84065 | 2016-12-27 |
| 1194273524 | New Horizon | Preferred Provider Organization | 1420 W 12600 Sputh, Draper, UT 84065 | 2016-09-14 |
| 1629430046 | Chadwick Miles Densley | Obstetrics & Gynecology | 12842 South 3600 West, Suite 200, Riverton, UT 84065 | 2016-03-24 |
| Find all providers in zip 84065 | ||||
| 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 |
|---|---|---|---|---|
| 1306325683 | Kasandra Lundquist | Counselor | 1273 W 12600 S Ste 403, Riverton, UT 84065-7111 | 2018-08-08 |
| 1023559515 | Heather Ley | Counselor | 1205 E Lincoln Ave, Riverton, WY 82501-3871 | 2017-03-16 |
| 1548568272 | Noel Brady | Counselor | 13923 S Haystack Peak Cir, Riverton, UT 84096-6453 | 2011-03-04 |
| 1790201234 | Paula Lynn Paulson | Counselor | 3740 W Market Center Dr, Riverton, UT 84065-8026 | 2017-08-16 |
| 1902340680 | Rachelle Happ | Counselor | 625 E Madison Ave, Riverton, WY 82501-4712 | 2016-12-14 |
| 1174947519 | Austin Bull | Counselor | 13923 S Haystack Peak Cir, Riverton, UT 84096-6453 | 2014-02-05 |
| 1972855443 | Julie Ann House | Counselor | 902 N 8th St W, Riverton, WY 82501-2332 | 2012-10-09 |
| 1245529395 | Amy Richards | Counselor | 13923 S Haystack Peak Cir, Riverton, UT 84096-6453 | 2011-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083213383 | Stephanie Heinhold | Counselor | 5934 W Bella Rosa Cv, Herriman, UT 84096-1791 | 2020-10-19 |
| 1780281519 | Sitti Suhardi | Counselor | 2550 S Main St Apt 1307, Salt Lake City, UT 84115-3071 | 2020-10-05 |
| 1487261848 | Jon Nathan Jensen | Counselor | 1025 W 450 N, Provo, UT 84601-2518 | 2020-09-29 |
| 1245846815 | Denielle Renee Johnson | Counselor | 944 N Main, Nephi, UT 84648-1002 | 2020-09-19 |
| 1801400015 | Tyra Mae Vance | Counselor | 3375 S 880 E, Salt Lake City, UT 84106 | 2020-09-04 |
| 1033721394 | Salt Lake Therapy Collective | Counselor | 311 S 900 E Ste 103, Salt Lake City, UT 84102-2491 | 2020-08-18 |
| 1164040614 | Mark E Hutchinson | Counselor | 5047 S Galleria Drive, Murray, UT 84123 | 2020-07-10 |
| 1053959601 | Mckenzie Morgan | Counselor | 1240 E 100 S Bldg 22 #221, St George, UT 84790-3001 | 2019-12-13 |
| 1255977401 | Emma Diane Farmer | Counselor | 1505 N 1275 E, Layton, UT 84040-8331 | 2019-11-22 |
| 1467096537 | Mindy Jolene Wright | Counselor | 944 N Main St, Nephi, UT 84648-1002 | 2019-11-01 |
| Find all providers with the same taxonomy | ||||
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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.