MS. ALISA WILSON (NPI# 1508324161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508324161 |
| Entity Type | Individual |
| Full Name | MS. ALISA WILSON |
| Other Name | MRS. ALISA LOVATO |
| Credential | ACMHC |
| Practice Address |
11075 S State St Ste 35 Sandy UT 84070-5187 |
| Mailing Address |
Po Box 330 Magna UT 84044-0330 |
| Practice Telephone | 8019904300 |
| Practice Fax Number | 8019672127 |
| Mailing Telephone | 8019904300 |
| Mailing Fax Number | 8019672127 |
| Enumeration Date | 2019-03-03 |
| Last Update Date | 2020-02-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
328353-6009 | UT | Behavioral Health & Social Service Providers |
| Street Address |
11075 S STATE ST STE 35 |
| City | SANDY |
| State | UT |
| Zip Code | 84070-5187 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447786256 | Paula Bruce | Marriage & Family Therapist | 11075 S State St Ste 35, Sandy, UT 84070-5187 | 2017-05-11 |
| 1437685443 | Cindra Lee Voorhees | Marriage & Family Therapist | 11075 S State St Ste 35, Sandy, UT 84070-5187 | 2017-05-11 |
| 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 | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740890961 | Elizabeth Lowe Madsen | Counselor | 9678 700 East Suite 102, Sandy, UT 84070 | 2020-08-03 |
| 1508486473 | Integrative Counseling, LLC | Counselor | 510 E Sego Lily Dr, Sandy, UT 84070-3546 | 2020-04-21 |
| 1811526122 | Moving Forward Counseling | Counselor | 9571 S 700 E Ste 101, Sandy, UT 84070-3472 | 2020-04-07 |
| 1417597188 | Hayley Burr | Counselor | 8706 700 E, Suite 205, Sandy, UT 84070 | 2020-01-10 |
| 1205484755 | Live for Life Behavioral Health, LLC | Counselor | 9045 S 1300 E # 200, Sandy, UT 84094-3134 | 2019-08-28 |
| 1821656422 | Karen Ritchie | Counselor | 9192 South 300 West, Sandy, UT 84070 | 2019-05-30 |
| 1912464546 | Russell Edward Peters | Counselor | 10708 S 1300 E Ste 103, Sandy, UT 84094-5027 | 2019-03-01 |
| 1033673926 | David S Bridgeman | Counselor | 781 E Autumn Field Dr, Sandy, UT 84094-1872 | 2019-01-25 |
| 1538640347 | Brandon Stewart Bunker | Counselor | 9055 S 1300 E Ste 107, Sandy, UT 84094-3133 | 2018-08-29 |
| 1679068159 | Derek Livingston | Counselor | 11075 State St #35, Sandy, UT 84070 | 2018-06-27 |
| Find all providers in SANDY | ||||
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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.