KRISTEN BUSICO NICHOLS (NPI# 1710404702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710404702 |
| Entity Type | Individual |
| Full Name | KRISTEN BUSICO NICHOLS |
| Practice Address |
5667 S Redwood Rd Unit 6b Taylorsville UT 84123-5495 |
| Practice Telephone | 8019791351 |
| Enumeration Date | 2017-08-29 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2513 S Dearborn St, Salt Lake City, UT 84106 | 8015205967 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437776341 | Kristen Elizabeth Nichols | Counselor | 204 Hampton Dr, Venice, CA 90291-2623 | 2020-06-26 |
| 1447885322 | Kristen Elizabeth Nichols | Social Worker | 2277 Grand Ave, Baldwin, NY 11510-3148 | 2020-03-11 |
| 1972143816 | Kristen Michelle Nichols | Licensed Practical Nurse | 38882 Mentor Ave, Willoughby, OH 44094-7875 | 2020-01-08 |
| 1285285718 | Kristen Nichols | Speech-Language Pathologist | 534 Owl Creek Dr, Powder Springs, GA 30127-6285 | 2019-09-25 |
| 1265942486 | Kristen Ann Nichols | Registered Nurse | 780 Albany St, Boston, MA 02118-2755 | 2017-10-02 |
| 1053841064 | Kristen Marie Nichols | Marriage & Family Therapist | 8950 Villa La Jolla Dr Ste A218, La Jolla, CA 92037-1711 | 2017-06-13 |
| 1043529886 | Kristen Nichols | Counselor | 325 Il Route 2, Dixon, IL 61021-9118 | 2010-09-28 |
| 1063590727 | Kristen L. Nichols | Emergency Medicine | 6600 Bruceville Rd, Sacramento, CA 95823-4671 | 2006-11-01 |
| 1467431874 | Kristen Benae Nichols | Dentist | 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236 | 2006-01-13 |
| Street Address |
5667 S REDWOOD RD UNIT 6B |
| City | TAYLORSVILLE |
| State | UT |
| Zip Code | 84123-5495 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144566910 | Vorn Lor | Social Worker | 5667 S Redwood Rd Unit 6b, Taylorsville, UT 84123-5495 | 2012-12-22 |
| 1639650039 | John Cal Fotheringham | Social Worker | 5667 S Redwood Rd Unit 6b, Taylorsville, UT 84123-5495 | 2018-08-23 |
| 1942714787 | Lyndsay Ann Smith | Social Worker | 5667 S Redwood Rd Unit 6b, Taylorsville, UT 84123-5495 | 2017-11-30 |
| 1447760905 | Danielle Payne | Counselor | 5667 S Redwood Rd Unit 6b, Taylorsville, UT 84123-5495 | 2017-10-10 |
| 1487177606 | Cailey Michele Green | Community Health Worker | 5667 S Redwood Rd Unit 6b, Taylorsville, UT 84123-5495 | 2017-07-19 |
| 1649632779 | Andrew Finlinson | Marriage & Family Therapist | 5667 S Redwood Rd Unit 6b, Taylorsville, UT 84123-5495 | 2016-03-28 |
| 1316319809 | Stacey Hembury | Counselor | 5667 S Redwood Rd Unit 6b, Taylorsville, UT 84123-5495 | 2015-10-23 |
| 1861876989 | Sabrina Owen | Social Worker | 5667 S Redwood Rd Unit 6b, Taylorsville, UT 84123-5495 | 2015-07-18 |
| 1639571953 | Stephen Kiuri Gitonga | Counselor | 5667 S Redwood Rd Unit 6b, Taylorsville, UT 84123-5495 | 2014-09-17 |
| 1396152930 | Katelyn Bosch | Social Worker | 5667 S Redwood Rd Unit 6b, Taylorsville, UT 84123-5495 | 2014-07-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679186837 | Utah Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 5792 South Redwood Road, Taylorsville, UT 84123 | 2020-08-27 |
| 1164040614 | Mark E Hutchinson | Counselor | 5047 S Galleria Drive, Murray, UT 84123 | 2020-07-10 |
| 1396259321 | Utah Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4082 South Redwood Road, West Valley Road, UT 84123 | 2017-11-29 |
| 1083131890 | Kelli Mcstotts | Counselor | 5689 S. Redwood Road, Taylorsville, UT 84123 | 2017-08-23 |
| 1740706571 | Laura B Ellsworth | Case Manager/Care Coordinator | 5667 So. Redwood Road, 6b, Salt Lake City, UT 84123 | 2017-08-14 |
| 1790214120 | Integrated Autism Therapies | Behavioral Analyst | 5984 S. Susquehanna, Murray, UT 84123 | 2017-06-08 |
| 1083163885 | Michael John Flint | Counselor | 5861 South Redwood Road, #24, Taylorsville, UT 84123 | 2016-09-22 |
| 1548716236 | Andres Ramos | Licensed Psychiatric Technician | 697 West 4170 South, Murray, UT 84123 | 2016-09-01 |
| 1467807040 | Sheryl R Schindler | Counselor | 5770 South 1550 West, Bldg G, Primary Children's Counseling Center, Taylorsville, UT 84123 | 2016-05-02 |
| 1730562141 | Megan Merica Snarr | Dentist | 597 West 5300 South, Murray, UT 84123 | 2015-07-02 |
| Find all providers in zip 84123 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144832502 | Another Day Therapy, Pllc | Social Worker | 5663 S Redwood Rd Ofc 14, Taylorsville, UT 84123-5387 | 2020-08-18 |
| 1417491796 | Carin Knight | Social Worker | 5770 S 1500 W Bldg A, Taylorsville, UT 84123-5216 | 2016-12-06 |
| 1891140331 | Caring for Kearns | Social Worker | 5525 S 4015 W, Suite #207 A & B, Taylorsville, UT 84129 | 2016-05-03 |
| 1902274731 | Arbor Counseling Utah LLC | Social Worker | 5667 S Redwood Rd Unit 6, Taylorsville, UT 84123-5433 | 2015-09-10 |
| 1043600059 | Jessica Renay White | Social Worker | 173 Joe Booth Rd, Taylorsville, MS 39168-4608 | 2015-01-28 |
| 1902215692 | Emily Ruth Roberts | Social Worker | 5689 S Redwood Rd Unit 28b, Taylorsville, UT 84123-5499 | 2014-08-06 |
| 1275954869 | Melanie Lawrence | Social Worker | 4989 S Meadow View Dr, Taylorsville, UT 84123-6843 | 2013-12-26 |
| 1679851778 | Gayle Reschke | Social Worker | 5675 S Redwood Rd Unit 9, Taylorsville, UT 84123-5498 | 2011-07-25 |
| 1548570922 | Lori Smith | Social Worker | 5770 S 1500 W Bldg B, Taylorsville, UT 84123-5216 | 2010-10-19 |
| 1447564646 | Donna Aubuchon | Social Worker | 299 Hillsboro Rd, Taylorsville, NC 28681-3521 | 2010-07-29 |
| Find all providers in TAYLORSVILLE | ||||
| City | TAYLORSVILLE |
| Zip Code | 84123 |
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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.