SIMPLE MODERN THERAPY, PLLC (NPI# 1821411133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821411133 |
| Entity Type | Organization |
| Organization Name | SIMPLE MODERN THERAPY, PLLC |
| Practice Address |
1104 E Ashton Ave 212 Salt Lake City UT 84106-4504 |
| Mailing Address |
835 E 600 S Salt Lake City UT 84102-2908 |
| Practice Telephone | 4357302973 |
| Enumeration Date | 2014-01-23 |
| Last Update Date | 2014-01-23 |
| Authorized Official Name | MS. HEATHER HOLMGREN (OWNER) |
| Authorized Official Telephone | 4357302973 |
| Authorized Official Credential | LMFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 67841063902 | UT | Behavioral Health & Social Service Providers |
| Street Address |
1104 E ASHTON AVE 212 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84106-4504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831637503 | Derrek Draper | Massage Therapist | 1104 E Ashton Ave, Ste 207, Salt Lake City, UT 84106-4504 | 2017-02-02 |
| 1699139568 | Amethyst Center for Healing | Counselor | 1104 E Ashton Ave, 212, Salt Lake City, UT 84106-4504 | 2016-04-07 |
| 1194198010 | Amethyst Center for Healing | Social Worker | 1104 E Ashton Ave, Suite 212, Salt Lake City, UT 84106-4504 | 2015-11-02 |
| 1902296148 | Health and Healing Counseling Inc. | Social Worker | 1104 E Ashton Ave, Ste 203, Salt Lake City, UT 84106-4504 | 2015-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801400015 | Tyra Mae Vance | Counselor | 3375 S 880 E, Salt Lake City, UT 84106 | 2020-09-04 |
| 1316596554 | Adam Davies | Pharmacist | 1280 E Stringham Ave., Salt Lake City, UT 84106 | 2019-09-10 |
| 1558919142 | University of Utah | Pharmacy | 1280 E. Stringham Ave, Suite 101, Salt Lake City, UT 84106 | 2019-08-28 |
| 1588174064 | Aaron Potts | Naturopath | 1945 1100 E, #100, Salt Lake City, UT 84106 | 2017-10-10 |
| 1801335005 | Gretchen Dennison | Nurse Practitioner | 2138 S Highland Dr, Salt Lake City, UT 84106 | 2017-02-21 |
| 1376095794 | Jeannette Daneals | Naturopath | 1945 South 1100 East, Suite 100, Salt Lake City, UT 84106 | 2016-11-02 |
| 1073908703 | Tracey Steinmetz | Massage Therapist | 3300 South 970 East, Suite 7, Salt Lake City, UT 84106 | 2015-03-31 |
| 1275949091 | Amy Deforest Edwards | Counselor | Jewish Family Service, 1111 E Brickyard Rd, Suite 218, Slc, UT 84106 | 2014-07-02 |
| 1194138636 | Hillary Lowe Taggart | Nurse Practitioner | 3369 S Highland Dr, Salt Lake City, UT 84106 | 2014-06-03 |
| 1487086617 | Herald R. Clark, Dds | Dentist | 3643 S. Highland Drive, Salt Lake City, UT 84106 | 2013-07-30 |
| Find all providers in zip 84106 | ||||
| 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 |
|---|---|---|---|---|
| 1265052880 | Sarah Dawn Finney | Marriage & Family Therapist | 3390 S Oakwood St, Salt Lake City, UT 84109-3073 | 2020-04-23 |
| 1871153320 | Kimberly Lawson | Marriage & Family Therapist | 1945 S 1100 E Ste 202, Salt Lake City, UT 84106-4092 | 2019-06-17 |
| 1699239988 | Meredith Barney | Marriage & Family Therapist | 1425 S 700 E, Salt Lake City, UT 84105-2125 | 2019-01-30 |
| 1639644255 | Claire Elizabeth Gray | Marriage & Family Therapist | 1425 700 East, Salt Lake City, UT 84105 | 2018-10-10 |
| 1174098073 | Catherine Elizabeth Lundell | Marriage & Family Therapist | 4505 S Wasatch Blvd Ste 290, Salt Lake City, UT 84124-4204 | 2018-10-06 |
| 1114417219 | Utah Center for Couples and Families, Pllc | Marriage & Family Therapist | 4190 S Highland Dr Ste 104, Salt Lake City, UT 84124-2661 | 2018-05-14 |
| 1063948545 | Ryan C Smith | Marriage & Family Therapist | 1977 E Regal Stream Cv, Salt Lake City, UT 84121-5020 | 2017-05-03 |
| 1821453986 | Amanda Nelson | Marriage & Family Therapist | 2150 S Mcclelland St, Apt 217, Salt Lake City, UT 84106-2580 | 2015-12-16 |
| 1992198881 | Cynthia R Thorpe | Marriage & Family Therapist | 2624 East Mount Crest Drive, Salt Lake City, UT 84109 | 2015-03-17 |
| 1861815813 | Karin Krueger | Marriage & Family Therapist | 923 E Executive Park Dr Ste D, Salt Lake City, UT 84117-3558 | 2014-01-28 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84106 |
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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.