| Counseling Associates Of Utah | |
|
9980 S 300 W Ste 200 Sandy UT 84070-3654 | |
| (801) 949-2155 | |
| (866) 919-0737 |
| Full Name | Counseling Associates Of Utah |
|---|---|
| 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 9980 S 300 W Ste 200 Sandy UT 84070-3654 Ph: (801) 949-2155 | Counseling Associates Of Utah 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 | Jared Tortosa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952605065 PECOS PAC ID: 1658672993 Enrollment ID: I20151210002190 |
| Provider Name | Jayne Ann Sumner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861820813 PECOS PAC ID: 0648504654 Enrollment ID: I20190625003421 |
| Provider Name | Jason Capel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588969604 PECOS PAC ID: 5395162283 Enrollment ID: I20200824001250 |
| 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 | Mary A Pearson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629377171 PECOS PAC ID: 9436527199 Enrollment ID: I20221130001997 |
| Provider Name | Chase G Sayer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700370103 PECOS PAC ID: 6204206550 Enrollment ID: I20221230001367 |
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