| Counseling Associates Of Utah A Professional Corporation | |
|
9980 S 300 W Ste 200 Sandy UT 84070-3654 | |
| (801) 949-2155 | |
| (866) 919-0737 |
| Full Name | Counseling Associates Of Utah A Professional Corporation |
|---|---|
| Speciality | Counselor |
| Location | 9980 S 300 W Ste 200, Sandy, Utah |
| Authorized Official Name and Position | David Zane (CEO) |
| Authorized Official Contact | 8019492155 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Counseling Associates Of Utah A Professional Corporation 9980 S 300 W Ste 200 Sandy UT 84070-3654 Ph: (801) 949-2155 | Counseling Associates Of Utah A Professional Corporation 9980 S 300 W Ste 200 Sandy UT 84070-3654 Ph: (801) 949-2155 |
| NPI Number | 1427695980 |
|---|---|
| Provider Enumeration Date | 12/04/2019 |
| Last Update Date | 05/09/2023 |
| Certification Date | 05/09/2023 |
| Medicare PECOS PAC ID | 3779904461 |
|---|---|
| Medicare Enrollment ID | O20200604002381 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427695980 | NPI | - | NPPES |
| Provider Name | Marie Heninger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386072551 PECOS PAC ID: 8325332000 Enrollment ID: I20160803000381 |
| Provider Name | Layne Gerry Daybell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619586856 PECOS PAC ID: 5496172108 Enrollment ID: I20200826002469 |
| Provider Name | Amanda K Banfill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740849389 PECOS PAC ID: 1759799612 Enrollment ID: I20210414002769 |
| Provider Name | Curtis W Watson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477681245 PECOS PAC ID: 2668879305 Enrollment ID: I20210923001482 |
| Provider Name | Kimberly Erin Hurzeler |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750552352 PECOS PAC ID: 8729520432 Enrollment ID: I20240610003178 |
| Provider Name | Holli Crosby |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497246052 PECOS PAC ID: 8426590043 Enrollment ID: I20240610003839 |
| Provider Name | David Zane |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235771411 PECOS PAC ID: 6406277193 Enrollment ID: I20240611000848 |
| Provider Name | David Wieder |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598143703 PECOS PAC ID: 6204372592 Enrollment ID: I20240723002078 |
| Provider Name | Kristian S Baker |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1003244609 PECOS PAC ID: 6608313036 Enrollment ID: I20240802003382 |
| Provider Name | Robert Wolfgang Wesemann |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164759056 PECOS PAC ID: 5395271266 Enrollment ID: I20241216002481 |
| Provider Name | Lanae Kimber |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467878116 PECOS PAC ID: 5698204584 Enrollment ID: I20250122001099 |
| Provider Name | Michelle Glover |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841635018 PECOS PAC ID: 0840700787 Enrollment ID: I20250610001141 |
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