AMANDA RAE COSTA (NPI# 1477045979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477045979 |
| Entity Type | Individual |
| Full Name | AMANDA RAE COSTA |
| Credential | M.S.ED MENTAL HEALTH |
| Practice Address |
2200 S State St Salt Lake City UT 84115-2724 |
| Mailing Address |
705 E Kensington Ave Salt Lake City UT 84105-2224 |
| Practice Telephone | 8013598862 |
| Mailing Telephone | 7865530488 |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2018-05-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063974798 | Amanda M Costa | Case Manager/Care Coordinator | 11 Route 111, Smithtown, NY 11787-3754 | 2019-04-02 |
| 1528553435 | Amanda Spirandelli Costa | Pediatrics | 1600 S Andrews Ave, Fort Lauderdale, FL 33316-2510 | 2018-06-25 |
| 1083001507 | Amanda Costa | Occupational Therapist | 9470 Annapolis Rd, 416, Lanham, MD 20706-3025 | 2015-04-22 |
| 1841541109 | Amanda Costa | Nurse Practitioner | 152 Dean St, Building 3, Taunton, MA 02780-2766 | 2012-09-27 |
| Street Address |
2200 S STATE ST |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84115-2724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083976690 | Karen Lenore Stovall | Counselor | 2200 S State St, Salt Lake City, UT 84115-2724 | 2012-06-10 |
| 1386275055 | Rebecca Gatrell | Case Manager/Care Coordinator | 2200 S State St, Salt Lake City, UT 84115-2724 | 2020-01-30 |
| 1871141135 | Kelly Robinson Bills | Social Worker | 2200 S State St, Salt Lake City, UT 84115-2724 | 2019-08-29 |
| 1306491543 | Austin Kyle Young | Student in an Organized Health Care Education/Training Program | 2200 S State St, Salt Lake City, UT 84115-2724 | 2019-08-05 |
| 1154981488 | Katherine Lynn Slaughter | Social Worker | 2200 S State St, Salt Lake City, UT 84115-2724 | 2019-06-18 |
| 1265098081 | Jessica Daurice Brooks | Social Worker | 2200 S State St, Salt Lake City, UT 84115-2724 | 2019-05-16 |
| 1790243087 | Megan Rabuck | Case Manager/Care Coordinator | 2200 S State St, Salt Lake City, UT 84115-2724 | 2019-03-06 |
| 1922589100 | Kimberly Brooke Millikan | Social Worker | 2200 S State St, Salt Lake City, UT 84115-2724 | 2018-08-24 |
| 1356716930 | Laura Mercer | Counselor | 2200 S State St, Salt Lake City, UT 84115-2724 | 2015-12-08 |
| 1952740193 | Cara Nicole Durfee | Counselor | 2200 S State St, Suite 200, Salt Lake City, UT 84115-2724 | 2013-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396344198 | Shannon Ballinger | Clinic/Center | 1470 400 W, Salt Lake City, UT 84115 | 2020-10-22 |
| 1992346704 | Anicka Inc | Clinic/Center | 3195 South Main St, Ste 260, South Salt Lake, UT 84115 | 2019-10-02 |
| 1083177505 | Vitor Gabriel Giuliani Alcantara Carioca | Specialist/Technologist | 1850 South Campus Drive, Salt Lake City, UT 84115 | 2019-04-11 |
| 1427528371 | Samuel James Leonhart | Behavior Technician | 354 East Coatsville Drive, Salt Lake City, UT 84115 | 2018-12-04 |
| 1093228645 | Eco Pharmacy LLC | Pharmacy | 3702 S State Street Suite 115, South Salt Lake City, UT 84115 | 2017-11-06 |
| 1568973055 | Eco Apothecary LLC | Pharmacy | 3701 S State Street Suite 114, South Salt Lake City, UT 84115 | 2017-10-24 |
| 1548780455 | Kelly Lund | Case Manager/Care Coordinator | 447 W. Bearcat Dr., Salt Lake City, UT 84115 | 2017-06-21 |
| 1104271238 | The Church of Philadelphia Inc. | Community/Behavioral Health | 2358 South Main Street, Salt Lake City, UT 84115 | 2016-04-26 |
| 1710368626 | Jennifer Swanhild Edwards | Counselor | 140 W 2100 S Ste 244, Salt Lake City, UT 84115 | 2015-06-16 |
| 1508247065 | John Mcguire | Health Educator | 1370 S. West Temple, Salt Lake City, UT 84115 | 2015-06-10 |
| Find all providers in zip 84115 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| 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 |
| 1699374439 | Heidemarie Lex | Counselor | 3125 E Kennedy Dr Apt 605, Salt Lake City, UT 84108-2156 | 2020-10-22 |
| 1477166759 | Utah Infertility Resource Center | Counselor | 1565 E 3300 S, Salt Lake City, UT 84106-3370 | 2020-08-26 |
| 1689292658 | Truu Management | Counselor | 1554 S State St, Salt Lake City, UT 84115-1632 | 2020-07-07 |
| 1275169823 | Ashley White | Counselor | 1190 S 300 E, Salt Lake City, UT 84111-4636 | 2020-03-16 |
| 1184257107 | Richard Gregg Buxton | Counselor | 739 S 300 W Unit 113, Salt Lake City, UT 84101-2617 | 2020-02-18 |
| 1609416254 | Rmc Counseling | Counselor | 155 E 900 S Ste 111213, Salt Lake City, UT 84111-4229 | 2020-01-12 |
| 1114563681 | Caroline Graham | Counselor | 131 E 700 S, Salt Lake City, UT 84111-3805 | 2019-11-20 |
| 1629622303 | Healing Feathers LLC | Counselor | 1174 E Graystone Way Ste 10, Salt Lake City, UT 84106-2671 | 2019-07-30 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84115 |
Please comment or provide details below to improve the information on AMANDA RAE COSTA.
| 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.