REVA C ROSENBAND (NPI# 1669799912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669799912 |
| Entity Type | Individual |
| Full Name | REVA C ROSENBAND |
| Credential | M.S., LMFT |
| Practice Address |
1755 N 200 E Logan UT 84341-1915 |
| Practice Telephone | 4357536245 |
| Practice Fax Number | 4357879320 |
| Mailing Telephone | 4357536245 |
| Mailing Fax Number | 4357879320 |
| Enumeration Date | 2010-04-27 |
| Last Update Date | 2010-04-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 6654227-3902 | UT | Behavioral Health & Social Service Providers |
| N | 253J00000X | Foster Care Agency | 6654227-3902 | UT | Agencies |
| Street Address |
1755 N 200 E |
| City | LOGAN |
| State | UT |
| Zip Code | 84341-1915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376017475 | Kierstin Thigpen | Community Health Worker | 1755 N 200 E, Logan, UT 84341-1915 | 2019-01-11 |
| 1730652884 | Tate Kennedy Larson | Community Health Worker | 1755 N 200 E, Logan, UT 84341-1915 | 2019-01-10 |
| 1891296893 | Jentrie Taylor Hales | Community Health Worker | 1755 N 200 E, Logan, UT 84341-1915 | 2018-02-24 |
| 1518468511 | Spencer Brock Egan | Community Health Worker | 1755 N 200 E, Logan, UT 84341-1915 | 2018-02-24 |
| 1982104972 | Kemyla Sacre | Community Health Worker | 1755 N 200 E, Logan, UT 84341-1915 | 2018-02-15 |
| 1205344645 | Brandon C Miller | Foster Care Agency | 1755 N 200 E, Logan, UT 84341-1915 | 2018-01-19 |
| 1881101004 | Wyatt Montgomery | Counselor | 1755 N 200 E, Logan, UT 84341-1915 | 2018-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538701529 | Aubrey Salmond | Registered Nurse | 500 East 1500 N, Logan, UT 84341 | 2019-10-11 |
| 1043702046 | Eye Pros of Logan LLC | Optometrist | 1475 N Main St Ste 103, Logan, UT 84341 | 2018-06-05 |
| 1275050452 | Rylie Jeanne Cook | Student in an Organized Health Care Education/Training Program | 11 Aggie Village Apt. J, Logan, UT 84341 | 2017-08-28 |
| 1093262156 | Jessica Lynn Mcgarry | Social Worker | 1040 N 130 W, Apt 100, Logan, UT 84341 | 2016-09-07 |
| 1740663566 | Paul R Gregory | Occupational Therapy Assistant | 1300 N 500 E Suite 120, Suite 120, Logan, UT 84341 | 2015-06-30 |
| 1851708846 | Bradley Budge | Optometrist | 535 E 1400 N Ste 130, Logan, UT 84341 | 2014-07-22 |
| 1386058709 | Daniel Raymond Carlson | Physician Assistant | 500 E. 1400 N., Logan, UT 84341 | 2014-06-13 |
| 1902220239 | Work Injury Solutions Inc. | Clinic/Center | 630 E 1400 N Ste 140, Logan, UT 84341 | 2014-02-06 |
| 1750627287 | Lee Martin Williams Sr. | Counselor | 186 E. 1800 N., North Logan, UT 84341 | 2013-01-03 |
| 1669747804 | Ronald J Payne | Internal Medicine | 1726 North 1850 East, North Logan, UT 84341 | 2012-03-21 |
| Find all providers in zip 84341 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720622145 | Cache Valley Center for Couples and Families | Marriage & Family Therapist | 2150 N Main St Ste 9, Logan, UT 84341-1740 | 2019-10-29 |
| 1356869176 | Learngrow, LLC | Marriage & Family Therapist | 55 E 100 N Ste 106, Logan, UT 84321-4680 | 2017-08-31 |
| 1386172005 | Melanie Ann Faustino Hansen | Marriage & Family Therapist | 272 1/2 N Main St, Logan, UT 84321-3915 | 2017-05-25 |
| 1063805299 | Krystal Cox | Marriage & Family Therapist | 493 North 700 East, Logan, UT 84321 | 2015-03-12 |
| 1336546167 | Alessandra Baird | Marriage & Family Therapist | 184 N 100 E Ste A, Logan, UT 84321-4610 | 2014-11-21 |
| 1013340801 | Carly D. L. Lebaron | Marriage & Family Therapist | 95 W. 100 S., Suite 360, Logan, UT 84321 | 2013-08-15 |
| 1427494244 | Family Institute of Northern Utah | Marriage & Family Therapist | 170 Pioneer Avenue, Logan, UT 84321-9999 | 2013-05-20 |
| 1922356732 | Stacy Lynn Hamilton Jones | Marriage & Family Therapist | 60 East Center Street, Suite 205, Keystone Family Solutions, Logan, UT 84321 | 2012-08-28 |
| 1376825364 | Diane Bingham | Marriage & Family Therapist | 464 N 300 E, Basement, Logan, UT 84321-4117 | 2011-09-15 |
| 1770877730 | Ashley Catherine Dasianu | Marriage & Family Therapist | 32 Aggie Vlg Apt E, Logan, UT 84341-2753 | 2011-06-07 |
| Find all providers in LOGAN | ||||
Please comment or provide details below to improve the information on REVA C ROSENBAND.
| 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.