JENNIFER CARLSON


Address: 8375 South 700east, Sandy, UT 84070
Phone: 8015760745

JENNIFER CARLSON (NPI# 1508307083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508307083
Entity Type Individual
Full Name JENNIFER CARLSON
Credential CMCH MAC
Practice Address 8375 South 700east
Sandy
UT 84070
Mailing Address 8375 S 700 E
Sandy
UT 84070-0504
Practice Telephone 8015760745
Mailing Telephone 8015760745
Enumeration Date 2017-03-16
Last Update Date 2017-03-16
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 320800000X Community Based Residential Treatment Facility, Mental Illness 8336873-6004 UT Residential Treatment Facilities
Y 324500000X Substance Abuse Rehabilitation Facility 8336873-6004 UT Residential Treatment Facilities

Other Providers JENNIFER CARLSON

NPI Name Taxonomy Address Enumeration
1518386259 Jennifer Carlson Social Worker 601 Shetland Cir, Nokomis, FL 34275-1631 2014-04-09
1790124279 Jennifer Leilani Carlson Doula 7241 Jillspring Ct, Springfield, VA 22152-3609 2013-06-18
1124171061 Jennifer Lee Carlson Legal Medicine 4484 Peachtree Rd Ne, Atlanta, GA 30319-2737 2007-01-22
1710939814 Jennifer Bergeron Carlson Pediatrics 52 Timber Ln, South Burlington, VT 05403-7204 2006-05-17
1043838774 Jennifer Marie Carlson Dentist 2101 Aspen Dr, Mechanicsburg, PA 17055-5508 2020-07-09
1437618667 Jennifer Marie Carlson Specialist/Technologist 613 S Knik Goose Bay Rd Ste B, Wasilla, AK 99654-8090 2019-03-18
1194299933 Jennifer Carlson Counselor 1640 Powers Ferry Rd Se, Building 2 Ste 150, Marietta, GA 30067 2019-01-15
1407349871 Jennifer Angelique Carlson Family Medicine 1123 N Evergreen Rd, Spokane Valley, WA 99216-1138 2018-06-11
1780107946 Jennifer Annette Carlson Speech-Language Pathologist 15620 Edgewood Dr Ste 240, Baxter, MN 56401-6984 2017-07-19
1386192177 Jennifer K Carlson Psychologist 1920 Briarcliff Rd Ne, Atlanta, GA 30329 2016-09-21

Office Location

Street Address 8375 SOUTH 700EAST
City SANDY
State UT
Zip Code 84070

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639777568 Megan Komatsu Inc. Social Worker 10815 700 East, Sandy, UT 84070 2020-10-13
1841803137 Anywhere Care Nurse Practitioner 9980 S. 300 W. Suite 200, Sandy, UT 84070 2020-08-26
1245840552 Kirandeep Kaur Psychologist 9678 700 E # 102, Sandy, UT 84070 2020-08-03
1740890961 Elizabeth Lowe Madsen Counselor 9678 700 East Suite 102, Sandy, UT 84070 2020-08-03
1417597188 Hayley Burr Counselor 8706 700 E, Suite 205, Sandy, UT 84070 2020-01-10
1821656422 Karen Ritchie Counselor 9192 South 300 West, Sandy, UT 84070 2019-05-30
1679068159 Derek Livingston Counselor 11075 State St #35, Sandy, UT 84070 2018-06-27
1891283735 Alta Rx LLC. Pharmacy 9883 South 500 West, Sandy, UT 84070 2018-04-26
1790273704 The Addiction Medicine Physicians Group, LLC Registered Nurse 9160 S 300 E. Ste 25, Sandy, UT 84070 2018-04-25
1841794765 Caryn Beazel Physical Therapist 9350 150 E, Sandy, UT 84070 2018-03-23
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Taxonomy Information

Taxonomy Code 324500000X
Grouping Residential Treatment Facilities
Classification Substance Abuse Rehabilitation Facility

Taxonomy Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Notes: [7/1/2003: modified title, modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023548732 Collective Recovery, Inc Substance Abuse Rehabilitation Facility 8029 S 700 E, Sandy, UT 84070-0555 2017-06-14
1306386669 Turning Point Centers Substance Abuse Rehabilitation Facility 8375 S 700 E, Sandy, UT 84070-0504 2017-03-06
1912194499 Turning Point Centers Substance Abuse Rehabilitation Facility 616 E. 11000 S., Sandy, UT 84070 2007-09-28
1871644690 Ark of Little Cottonwood Substance Abuse Rehabilitation Facility 2919 Granite Hollow St, Sandy, UT 84092-4217 2007-01-16
1942600846 Renassaince Ranch Outpatient Substance Abuse Rehabilitation Facility 9160 S 300 W, 13, Sandy, UT 84070-2655 2014-08-27

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1063013886 Brc Wellness LLC Substance Abuse Rehabilitation Facility 4911 S 900 E Ste B, Salt Lake City, UT 84117-5747 2020-11-06
1891307104 Steps Recovery Center Substance Abuse Rehabilitation Facility 345 E 4500 S # 100-140, Murray, UT 84107-3991 2020-08-18
1104460666 Active Recovery, LLC Substance Abuse Rehabilitation Facility 25 S Main St # 212, Centerville, UT 84014-1840 2019-10-28
1437709441 Insight Recovery Cedar City, LLC Substance Abuse Rehabilitation Facility 1050 W Old Highway 91, Parowan, UT 84761-7725 2019-09-12
1316506470 Evnsq, LLC Substance Abuse Rehabilitation Facility 5162 S Highland Dr, Holladay, UT 84117-7048 2019-06-11
1114584356 Juniper Canyon Recovery Center for Women, LLC Substance Abuse Rehabilitation Facility 520 North Aspen Road, Loa, UT 84747-8474 2019-05-23
1750948030 Liberty Addiction Recovery Centers LLC Substance Abuse Rehabilitation Facility 10458 N 6570 W, Highland, UT 84003-9311 2019-05-22
1235793290 Mountain Valley Recovery LLC Substance Abuse Rehabilitation Facility 9431 N 400 W, Holden, UT 84636 2019-04-25
1346803525 Brookstone Foundation Substance Abuse Rehabilitation Facility 198 N 100 E # 198n100e, St George, UT 84770-2831 2019-04-15
1639649684 Sterling Recovery Substance Abuse Rehabilitation Facility 525 W 465 N Ste 130, Providence, UT 84332-5604 2018-12-03
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Competitor

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City SANDY
Zip Code 84070

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Dataset Information

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.

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