JENNIFER CARLSON (NPI# 1508307083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| 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 |
| 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 |
| 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 |
| Street Address |
8375 SOUTH 700EAST |
| City | SANDY |
| State | UT |
| Zip Code | 84070 |
| 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 |
| Find all providers in zip 84070 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| 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] |
| 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 |
| 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 |
| 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.