| Compass Counseling And Consulting | |
|
3970 S 700 E Old Farm Professional Plaza #17 Salt Lake City UT 84107-2191 | |
| (801) 635-4141 | |
| (801) 263-4333 |
| Full Name | Compass Counseling And Consulting |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 3970 S 700 E, Salt Lake City, Utah |
| Authorized Official Name and Position | Brad Lundahl (PSYCHOLOGIST/OWNER) |
| Authorized Official Contact | 8016354141 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Compass Counseling And Consulting 4000 S 700 E Ste 9 Salt Lake City UT 84107-2180 Ph: (801) 635-4141 | Compass Counseling And Consulting 3970 S 700 E Old Farm Professional Plaza #17 Salt Lake City UT 84107-2191 Ph: (801) 635-4141 |
| NPI Number | 1356669360 |
|---|---|
| Provider Enumeration Date | 05/14/2010 |
| Last Update Date | 05/10/2017 |
| Medicare PECOS PAC ID | 0042525990 |
|---|---|
| Medicare Enrollment ID | O20150820011996 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356669360 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 295041-2501 (Utah) | Primary |
| Provider Name | Brad Lundahl |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033239827 PECOS PAC ID: 6305862855 Enrollment ID: I20140207000490 |
| Provider Name | Samuel Grey Walter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730468455 PECOS PAC ID: 8022338813 Enrollment ID: I20150519000921 |
| Provider Name | Michael C Wickersham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932572161 PECOS PAC ID: 4385935931 Enrollment ID: I20160629000520 |
| Provider Name | Marissa Sarhadi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720480577 PECOS PAC ID: 3274825922 Enrollment ID: I20180205000172 |
| Provider Name | Diana Ballard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235531641 PECOS PAC ID: 1658633706 Enrollment ID: I20180329001402 |
| Provider Name | Cherie Mockli |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710359245 PECOS PAC ID: 3476980079 Enrollment ID: I20200220000779 |
| Provider Name | Nancy Kimmerly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548752264 PECOS PAC ID: 2264869247 Enrollment ID: I20200304001359 |
| Provider Name | Benjamin Harvey Nielsen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588961734 PECOS PAC ID: 8729476072 Enrollment ID: I20211019002964 |
| Provider Name | Amy Bryce |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073092912 PECOS PAC ID: 4486049277 Enrollment ID: I20220314001279 |
| Provider Name | Jasmine Fitzsimmons |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609423391 PECOS PAC ID: 9436525474 Enrollment ID: I20221017002841 |
| Provider Name | Kasandra Lundquist |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306325683 PECOS PAC ID: 8628444569 Enrollment ID: I20221018003716 |
| Provider Name | Kelly Winslow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871258707 PECOS PAC ID: 7315314903 Enrollment ID: I20221111000209 |
| Provider Name | Monica Nicole Mason |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326340753 PECOS PAC ID: 0345619540 Enrollment ID: I20221209002610 |
| Provider Name | Marti C Bowles |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710507454 PECOS PAC ID: 7810361623 Enrollment ID: I20230317001810 |
| Provider Name | Casey Paul Fife |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720492887 PECOS PAC ID: 2860857091 Enrollment ID: I20230424000542 |
| Provider Name | Carrie Gaykowski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760035661 PECOS PAC ID: 9830554070 Enrollment ID: I20230424000655 |
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