JACKLYN FRASER THAYER (NPI# 1811218498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811218498 |
| Entity Type | Individual |
| Full Name | JACKLYN FRASER THAYER |
| Practice Address |
607 E 200 S Salt Lake City UT 84102-2110 |
| Practice Telephone | 8013630203 |
| Practice Fax Number | 8013593455 |
| Mailing Telephone | 8013630203 |
| Mailing Fax Number | 8013593455 |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2010-06-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
607 E 200 S |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84102-2110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346568763 | Megan Gailey | Social Worker | 607 E 200 S, Salt Lake City, UT 84102-2110 | 2010-05-10 |
| 1699375725 | Natania Raquel Taub | Residential Treatment Facility, Emotionally Disturbed Children | 607 E 200 S, Salt Lake City, UT 84102-2110 | 2020-10-28 |
| 1538777388 | Willie Gene Dennis | Case Manager/Care Coordinator | 607 E 200 S, Salt Lake City, UT 84102-2110 | 2020-07-17 |
| 1588065767 | Ellen Grace Hibdon | Community Health Worker | 607 E 200 S, Salt Lake City, UT 84102-2110 | 2014-09-08 |
| 1912332172 | Andrew Belmont | Social Worker | 607 E 200 S, Salt Lake City, UT 84102-2110 | 2013-09-06 |
| 1053750760 | Odyssey House Corp | Residential Treatment Facility, Emotionally Disturbed Children | 607 E 200 S, Salt Lake City, UT 84102-2110 | 2013-06-17 |
| 1780027987 | April Dineen | Social Worker | 607 E 200 S, Salt Lake City, UT 84102-2110 | 2013-04-08 |
| 1487994182 | Sharlynn Curtis | Social Worker | 607 E 200 S, Salt Lake City, UT 84102-2110 | 2013-02-18 |
| 1467702217 | Michael Sistrunk | Social Worker | 607 E 200 S, Salt Lake City, UT 84102-2110 | 2012-09-19 |
| 1255689014 | Annessa Heaton | Social Worker | 607 E 200 S, Salt Lake City, UT 84102-2110 | 2012-08-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942818604 | Wendy Vazquez | Behavior Technician | 515 S 700 E Suit 2a, Salt Lake City, UT 84102 | 2020-07-20 |
| 1407481245 | Odyssey House Inc | Family Medicine | 743 E 300 S, Salt Lake City, UT 84102 | 2020-03-11 |
| 1093359960 | Hayle Mayer | Behavior Technician | 515 S 700 E Salt Lake City, Suite 2a, Salt Lake, UT 84102 | 2019-11-04 |
| 1326680869 | Ronald Mcdonald House of The Intermountain Area | Meals | 935 E. South Temple, Salt Lake City, UT 84102 | 2019-10-16 |
| 1508419581 | Claire Pemberton | Behavior Technician | 327 E 1300 S, Apt 2, Salt Lake City, UT 84102 | 2019-07-19 |
| 1558923144 | Olivia Anne Hardwick | Social Worker | Transitions At Slrmc, 86 S. 1100 E. Suite 404, Salt Lake City, UT 84102 | 2019-07-03 |
| 1649741802 | Colten Vancampen | Behavior Technician | 515 S 700 E #2a, Salt Lake City, UT 84102 | 2018-12-16 |
| 1457847964 | Utah Podiatry Group PC | Podiatrist | 24 S 1100 E Ste 120, Salt Lake City, UT 84102 | 2018-07-09 |
| 1104311661 | Malorey Kooyman | Behavior Technician | 515 700 East, Suite 2a, Salt Lake City, UT 84102 | 2018-06-27 |
| 1700384930 | Utah Podiatry Group PC | Podiatrist | 82 S 1100 E Ste 301, Salt Lake City, UT 84102 | 2018-01-23 |
| Find all providers in zip 84102 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780281519 | Sitti Suhardi | Counselor | 2550 S Main St Apt 1307, Salt Lake City, UT 84115-3071 | 2020-10-05 |
| 1801400015 | Tyra Mae Vance | Counselor | 3375 S 880 E, Salt Lake City, UT 84106 | 2020-09-04 |
| 1033721394 | Salt Lake Therapy Collective | Counselor | 311 S 900 E Ste 103, Salt Lake City, UT 84102-2491 | 2020-08-18 |
| 1083172704 | Brooke Pyper | Counselor | 335 W Bugatti Dr, Salt Lake City, UT 84115-2521 | 2019-03-12 |
| 1881168185 | Korilynn Cheatham Bartley | Counselor | 124 S 400 E Ste 300, Salt Lake City, UT 84111-5307 | 2019-01-20 |
| 1164910089 | Gerald Louis Costley | Counselor | 339 E 3900 S Ste 155, Salt Lake City, UT 84107-1978 | 2018-04-26 |
| 1912412867 | Jackson Patrick Collins | Counselor | 1650 E 6670 S, Salt Lake City, UT 84121-2760 | 2017-12-13 |
| 1891225678 | Phil Edward Francis | Counselor | 4000 S 700 E Ste 9, Salt Lake City, UT 84107-2581 | 2017-06-14 |
| 1063866549 | Dustin Palmer | Counselor | 344 E 100 S # 230, Salt Lake City, UT 84111 | 2016-04-20 |
| 1740642735 | Misty Tae Ungricht | Counselor | 4460 S Highland Dr Ste 2106b, Salt Lake City, UT 84124-3543 | 2016-03-28 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84102 |
Please comment or provide details below to improve the information on JACKLYN FRASER THAYER.
| 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.