MRS. JESSICA TAMARA GOULDING (NPI# 1780178749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780178749 |
Entity Type | Individual |
Full Name | MRS. JESSICA TAMARA GOULDING |
Credential | LSUDC |
Practice Address |
5689 S Redwood Rd Unit 30 Salt Lake City UT 84123-5499 |
Mailing Address |
5689 S Redwood Rd Unit 30 Slc UT 84123-5499 |
Practice Telephone | 8012681715 |
Enumeration Date | 2018-06-21 |
Last Update Date | 2018-06-21 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
9475915-6006 | UT | Behavioral Health & Social Service Providers |
Street Address |
5689 S REDWOOD RD UNIT 30 |
City | SALT LAKE CITY |
State | UT |
Zip Code | 84123-5499 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730366758 | Alpine Center for Personal Growth | Social Worker | 5689 S Redwood Rd Unit 30, Salt Lake City, UT 84123-5499 | 2008-01-22 |
1851921381 | Kathryn Wingard | Counselor | 5689 S Redwood Rd Unit 30, Salt Lake City, UT 84123-5499 | 2020-01-23 |
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 | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063995538 | Latino Behavioral Health Services | Counselor | 3471 S West Temple, Salt Lake City, UT 84115-4338 | 2018-09-11 |
1891299012 | Sherrie Lynn Bolton | Counselor | 2001 S State St # S2-300, Salt Lake City, UT 84190-0001 | 2018-03-21 |
1215273529 | Holly H Tanski | Counselor | 5770 S. 1500 W. Bld A, Ihc Wasatch Canyons Campus, Salt Lake City, UT 84119 | 2012-12-14 |
1538415138 | Dominic Falsone | Counselor | 3846 Villa Dr, Salt Lake City, UT 84109 | 2012-08-01 |
1083976690 | Karen Lenore Stovall | Counselor | 2200 S State St, Salt Lake City, UT 84115-2724 | 2012-06-10 |
1407124662 | Daniel Wallace Powell | Counselor | 655 S State St, Salt Lake City, UT 84111-3819 | 2011-12-02 |
1902102858 | Annette Milner | Counselor | 2558 S 900 E Ste B, Salt Lake City, UT 84106-2239 | 2011-02-09 |
1235434291 | Cody Feda | Counselor | 344 East 100 South, Salt Lake City, UT 84111 | 2011-01-21 |
1841593266 | Edward Henry Snoddy | Counselor | 415 W 400 S, Salt Lake City, UT 84101-1135 | 2010-12-07 |
1114227766 | Rebecca Jo Breiman | Counselor | 514 Wilson Ave, Salt Lake City, UT 84105-2912 | 2010-10-29 |
Find all providers in SALT LAKE CITY |
City | SALT LAKE CITY |
Zip Code | 84123 |
Please comment or provide details below to improve the information on MRS. JESSICA TAMARA GOULDING.
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.