ANGELICA DASTRUP (NPI# 1891151296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891151296 |
| Entity Type | Individual |
| Full Name | ANGELICA DASTRUP |
| Practice Address |
721 W 1850 N Provo UT 84604-1416 |
| Mailing Address |
619 N 500 W Provo UT 84601-1547 |
| Practice Telephone | 8013754240 |
| Mailing Telephone | 8013754240 |
| Enumeration Date | 2016-01-14 |
| Last Update Date | 2016-01-14 |
| 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 |
721 W 1850 N |
| City | PROVO |
| State | UT |
| Zip Code | 84604-1416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710290044 | Nicole Cherie Nelson | Counselor | 721 W 1850 N, Provo, UT 84604-1416 | 2010-07-15 |
| 1275989576 | Brittani Frade | Marriage & Family Therapist | 721 W 1850 N, Provo, UT 84604-1416 | 2016-05-05 |
| 1639537186 | Christina Crowl | Counselor | 721 W 1850 N, Provo, UT 84604-1416 | 2016-01-29 |
| 1558728790 | Janilee Hutchings | Counselor | 721 W 1850 N, Provo, UT 84604-1416 | 2016-01-19 |
| 1457718694 | Kali Phillips | Counselor | 721 W 1850 N, Provo, UT 84604-1416 | 2016-01-19 |
| 1932566361 | Samantha Heley | Counselor | 721 W 1850 N, Provo, UT 84604-1416 | 2016-01-14 |
| 1497110993 | Mayra Powell | Counselor | 721 W 1850 N, Provo, UT 84604-1416 | 2015-12-28 |
| 1699144212 | Krosbi Moesinger | Counselor | 721 W 1850 N, Provo, UT 84604-1416 | 2015-09-24 |
| 1134596547 | Britini Ward | Counselor | 721 W 1850 N, Provo, UT 84604-1416 | 2015-09-01 |
| 1346626272 | Rachael Schiel | Counselor | 721 W 1850 N, Provo, UT 84604-1416 | 2015-08-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346882107 | Abigail Belle Hardy | Student in an Organized Health Care Education/Training Program | 1190 900 E, Provo, UT 84604 | 2019-10-14 |
| 1386106698 | Sarah Roseman Hunt | Nurse Practitioner | 1055 N 500 W., Suite. 101, Bldg. C, Provo, UT 84604 | 2019-04-04 |
| 1255813325 | Hwigeum Jeong | Specialist/Technologist | Department of Exercise Sciences 106 Sfh Brigham Young, Provo, UT 84604 | 2018-09-05 |
| 1093203044 | Snowcap Smile Studio LLC | Dentist | 2230 N. University Pkwy Ste 8b, Provo, UT 84604 | 2018-04-25 |
| 1407359078 | Ihc Health Services Inc | Clinic/Center | 380 W Bulldog Blvd, Ste 403, Provo, UT 84604 | 2018-03-09 |
| 1902308455 | Afton Leuga | Nurse Practitioner | 395 W Bulldog Blvd., Suite 401, Provo, UT 84604 | 2018-03-01 |
| 1851807333 | Ihc Health Services Inc | Family Medicine | 380 W 1230 N, Ste 602, Provo, UT 84604 | 2017-12-20 |
| 1689180218 | Ihc Health Services Inc | Pediatrics | 395 W Bulldog Blvd Ste 703, Provo, UT 84604 | 2017-12-19 |
| 1396254165 | Nicolas Sorensen | Massage Therapist | 247 West 2230 North #201, Provo, UT 84604 | 2017-09-25 |
| 1437692241 | Cirque Lodge Inc | Substance Abuse Rehabilitation Facility | 3114 E Ida's Road, Sundance, UT 84604 | 2016-11-28 |
| Find all providers in zip 84604 | ||||
| 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 |
|---|---|---|---|---|
| 1487261848 | Jon Nathan Jensen | Counselor | 1025 W 450 N, Provo, UT 84601-2518 | 2020-09-29 |
| 1417439076 | Quin Spencer Volpe | Counselor | 1035 E 560 N, Provo, UT 84606 | 2018-08-30 |
| 1497241905 | Pamela Sue Smith | Counselor | 2696 N University Ave Ste 238, Provo, UT 84604-3848 | 2018-07-09 |
| 1346661600 | Paisley Ann Eddy | Counselor | 717 N 1850 W, Provo, UT 84604 | 2014-01-03 |
| 1760730600 | Sacred Hoop Healing Center | Counselor | 210 W 200 N, Suite 106, Provo, UT 84601-2852 | 2012-08-27 |
| 1518231216 | Mariah Hurst | Counselor | 723 W 1850 N, Provo, UT 84604-1416 | 2012-02-28 |
| 1316229446 | Julia Dumont | Counselor | 715 W 1850 N, Provo, UT 84604-1416 | 2011-09-14 |
| 1750679445 | Karie Swenson | Counselor | 420 Idaho Ave, Provo, UT 84606-5236 | 2011-07-14 |
| 1710290044 | Nicole Cherie Nelson | Counselor | 721 W 1850 N, Provo, UT 84604-1416 | 2010-07-15 |
| 1609189992 | Cynthia Graves | Counselor | 1445 West 1100 North, Provo, UT 84604-6018 | 2010-07-15 |
| Find all providers in PROVO | ||||
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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.