TRACY HOGAN (NPI# 1598933236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598933236 |
| Entity Type | Individual |
| Full Name | TRACY HOGAN |
| Credential | CMHC |
| Practice Address |
10432 S 4000 W Ste B South Jordan UT 84009-5729 |
| Mailing Address |
10949 S Kestrel Rise Rd South Jordan UT 84009-6216 |
| Practice Telephone | 7202433512 |
| Practice Fax Number | 8019056411 |
| Mailing Telephone | 7202433512 |
| Mailing Fax Number | 8013027248 |
| Enumeration Date | 2008-02-15 |
| Last Update Date | 2020-01-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
10865116-6004 | UT | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10949 S Kestrel Rise Rd, South Jordan, UT 840096216 | 7202433512 | |
| 9353 Lark Sparrow Dr, Highlands Ranch, CO 801265227 | 7202447149 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730746108 | Tracy Ann Hogan | Social Worker | 12017 Sw Bennington Cir, Port St Lucie, FL 34987-2723 | 2019-05-21 |
| 1194997858 | Tracy L Hogan | Registered Nurse | 9212 Stone School Rd, Omro, WI 54963-9766 | 2008-04-01 |
| Street Address |
10432 S 4000 W STE B |
| City | SOUTH JORDAN |
| State | UT |
| Zip Code | 84009-5729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205453024 | Copper Ridge Counseling | Marriage & Family Therapist | 10432 S 4000 W Ste B, South Jordan, UT 84009-5729 | 2020-06-26 |
| 1073083929 | Kendrick A. Rith | Psychologist | 10432 S 4000 W Ste B, South Jordan, UT 84009-5729 | 2018-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104347061 | Pony Express Dental Daybreak, LLC | Clinic/Center | 5396 W Daybreak Parkway, South Jordan, UT 84009 | 2017-06-30 |
| 1831630763 | Tina Patel | Dentist | 11501 S 4000 W Ste 101, South Jordan, UT 84009 | 2017-03-10 |
| 1811396260 | Out of This World Dentistry Sj PC | Dentist | 10426 S. 4000 W., South Jordan, UT 84009 | 2014-08-21 |
| 1184970956 | Robert Owyn Lindquist IIi | Social Worker | 10609 S. Granby Way, South Jordan, UT 84009 | 2012-07-31 |
| 1013138254 | Kelly Kristen Adams | Pediatrics | 4686 W Crosswater Road, South Jordon, UT 84009 | 2007-05-02 |
| 1760081061 | Someone To Talk To | Psychologist | 10352 S Sturgeon Dr, South Jordan, UT 84009-1218 | 2020-10-19 |
| 1699317685 | Daybreak Pdc Pllc | Dentist | 4040 West Daybreak Pkwy, Suite 103, South Jordan, UT 84009-1286 | 2019-10-11 |
| 1518414911 | Charli Danielle Peters | Nurse Practitioner | 9636 S Skye Park Rd, South Jordan, UT 84009-1506 | 2016-09-02 |
| 1760933832 | Naomi Mackert | Massage Therapist | 4988 W Wood Ranch Dr, South Jordan, UT 84009-1532 | 2016-10-24 |
| 1396285425 | Preston Howard Catmull | Physical Therapist | 9988 S Hook Dr, South Jordan, UT 84009-2786 | 2017-03-08 |
| Find all providers in zip 84009 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609410810 | Terra Prince | Counselor | 10808 S River Front Pkwy Ste 308, South Jordan, UT 84095-5761 | 2019-10-30 |
| 1215587316 | Caban Counseling LLC | Counselor | 2789 W 9760 S, South Jordan, UT 84095-3249 | 2019-09-19 |
| 1578055794 | Tiffany Murillo Paskett | Counselor | 10808 S River Front Pkwy Ste 361, South Jordan, UT 84095-6300 | 2018-06-04 |
| 1467902890 | Jodi Ohlin Lycett | Counselor | 10757 S River Front Pkwy Ste 275, South Jordan, UT 84095-3548 | 2016-10-10 |
| 1801293030 | Rebecca Backman | Counselor | 10393 S Temple Dr Unit 103, South Jordan, UT 84095-8883 | 2014-12-03 |
| 1841616224 | Holley Jeppson | Counselor | 11717 S Amber Stone Dr, South Jordan, UT 84095-8076 | 2014-03-10 |
| 1932457611 | Misty June Newman | Counselor | 10393 S Temple Dr Ste 103, South Jordan, UT 84095-8883 | 2012-08-28 |
| 1871896043 | Lori Christine Newbold | Counselor | 11103 Creek Ridge Cir, South Jordan, UT 84095-2252 | 2010-12-10 |
| 1831407071 | Lisa D Chavez | Counselor | 11719 Zephyr Way, South Jordan, UT 84095-8196 | 2010-09-22 |
| 1861513558 | Tyler Jacob Young | Counselor | 1226 W South Jordan Pkwy Ste A, South Jordan, UT 84095-5518 | 2007-04-02 |
| Find all providers in SOUTH JORDAN | ||||
| City | SOUTH JORDAN |
| Zip Code | 84009 |
Please comment or provide details below to improve the information on TRACY HOGAN.
| 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.