SHAWNA JEAN GILLEN (NPI# 1922301183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922301183 |
| Entity Type | Individual |
| Full Name | SHAWNA JEAN GILLEN |
| Practice Address |
660 S 200 E Ste 308 Salt Lake City UT 84111-3853 |
| Mailing Address |
355 Dimaggio Dr Tooele UT 84074-9297 |
| Practice Telephone | 8013552086 |
| Practice Fax Number | 8013593244 |
| Mailing Telephone | 8013552846 |
| Mailing Fax Number | 8013593244 |
| Enumeration Date | 2010-12-09 |
| Last Update Date | 2010-12-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
660 S 200 E STE 308 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84111-3853 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922112382 | Julie Barraclough | Counselor | 660 S 200 E Ste 308, Salt Lake City, UT 84111-3853 | 2006-08-19 |
| 1427350933 | Volunteers of America | Community/Behavioral Health | 660 S 200 E Ste 308, Salt Lake City, UT 84111-3853 | 2010-12-03 |
| 1770890139 | Tanya Lewellen Ray | Counselor | 660 S 200 E Ste 308, Salt Lake City, UT 84111-3853 | 2010-09-07 |
| 1164759056 | Robert Wolfgang Wesemann | Counselor | 660 S 200 E Ste 308, Salt Lake City, UT 84111-3853 | 2009-11-12 |
| 1184951154 | Laura Elizabeth Wegener | Social Worker | 660 S 200 E Ste 308, Salt Lake City, UT 84111-3853 | 2009-11-11 |
| 1881929917 | Sunny Strasburg | Marriage & Family Therapist | 660 S 200 E Ste 308, Salt Lake City, UT 84111-3853 | 2009-10-07 |
| 1851532410 | Michael Brannon Patrick | Counselor | 660 S 200 E Ste 308, Salt Lake City, UT 84111-3853 | 2009-03-11 |
| 1649415787 | Rachel Elizabeth Shelley | Social Worker | 660 S 200 E Ste 308, Salt Lake City, UT 84111-3853 | 2008-12-03 |
| 1255582102 | Raquel R Cook | Counselor | 660 S 200 E Ste 308, Salt Lake City, UT 84111-3853 | 2008-10-08 |
| 1245493238 | David M Hildt | Marriage & Family Therapist | 660 S 200 E Ste 308, Salt Lake City, UT 84111-3853 | 2008-07-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316551336 | Mary Ann Rush | Case Manager/Care Coordinator | 334 E. 100 S., Slc, UT 84111 | 2020-09-08 |
| 1790396554 | Stephanie G Mishenko | Military Health Care Provider | 344e 100s, Slc, UT 84111 | 2020-08-13 |
| 1386264802 | Mckensee M Carter | Case Manager/Care Coordinator | 334 E 100 S, Salt Lake City, UT 84111 | 2020-04-24 |
| 1316421761 | Community Health Centers, Inc. | Social Worker | 610 S 200 E Ste #b, Salt Lake City, UT 84111 | 2018-09-21 |
| 1528545506 | Lauren Brittney Harman | Case Manager/Care Coordinator | 344 E. 100 S., Salt Lake City, UT 84111 | 2018-07-23 |
| 1851896484 | Shivani Chowdhary | Dentist | 370 E South Temple Ste 350, Salt Lake City, UT 84111 | 2018-03-26 |
| 1801390661 | Jaylee Marie Watman | Case Manager/Care Coordinator | 344 E. 100 S. Ste 301, Salt Lake City, UT 84111 | 2018-03-19 |
| 1467963918 | Victoira Julia Graham | Case Management | 344 East 100 South Ste 301, Salt Lake City, UT 84111 | 2017-10-23 |
| 1750805404 | Kayla Hymas | Behavioral Analyst | 243 E. 400 S., Slc, UT 84111 | 2017-08-02 |
| 1134643224 | Julie Peaslee | Counselor | 275 E South Temple Ste 110, Salt Lake City, UT 84111 | 2017-07-31 |
| Find all providers in zip 84111 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639789464 | Enduring Connections Counseling Services LLC | Community/Behavioral Health | 4659 S Highland Dr, Salt Lake City, UT 84117-5137 | 2020-08-06 |
| 1033733001 | Jessica Jo Pllc | Community/Behavioral Health | 3527 S 1200 E, Salt Lake City, UT 84106-2425 | 2020-06-04 |
| 1467071407 | Cancer Wellness House, Inc. | Community/Behavioral Health | 59 S 1100 E, Salt Lake City, UT 84102-1508 | 2020-04-09 |
| 1942859707 | Madre Tierra Counseling & Consulting LLC | Community/Behavioral Health | 3763 S Secord St, Salt Lake City, UT 84115-4771 | 2019-09-05 |
| 1295389708 | Peaceful Solutions Counseling LLC | Community/Behavioral Health | 1399 S 700 E Ste 5, Salt Lake City, UT 84105-2161 | 2019-08-01 |
| 1689139198 | Mmtc | Community/Behavioral Health | 1411 W 1100 N, Salt Lake City, UT 84116-1634 | 2019-02-08 |
| 1891274429 | Crystal Tina Marie Amezquita | Community/Behavioral Health | 1141 E 3900 S Ste A150, Salt Lake City, UT 84124-1215 | 2018-08-14 |
| 1558840611 | Noble Soul Therapy | Community/Behavioral Health | 699 E South Temple # 300a, Salt Lake City, UT 84102-1142 | 2018-08-09 |
| 1932631116 | Mattison Therapeutic Consulting and Counseling | Community/Behavioral Health | 667 E Redondo Ave, Salt Lake City, UT 84105-3028 | 2017-03-28 |
| 1396281218 | Pat Brehl Lcsw LLC | Community/Behavioral Health | 439 E 900 S, Salt Lake City, UT 84111-4303 | 2017-01-17 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84111 |
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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.