Address: 1009 N Blue Topaz Dr, Washington, UT 84780-3035

TRACIE JOELENE STEVENS (NPI# 1568887073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1568887073
Entity Type Individual
Gender Female
Credential LCSW
Practice Address 1009 N Blue Topaz Dr
UT 84780-3035
Practice Telephone 4356329514
Mailing Address 1009 N Blue Topaz Dr
UT 84780-3035
Mailing Telephone 4356329514
Certification Date 2020-03-27
Enumeration Date 2014-02-20
Last Update Date 2020-03-27
Is Sole Proprietor N


Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
Y 101Y00000X Counselor Behavioral Health & Social Service Providers
N 1041C0700X Social Worker
Specialization: Clinical
9436174-3502 UT Behavioral Health & Social Service Providers

Provider Secondary Practice Locations

Address Telephone Number Fax Number
1009 N Blue Topaz Dr, Washington, UT 847803035

Office Location

Street Address 1009 N BLUE TOPAZ DR
State UT
Zip Code 84780-3035

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NPI Name Taxonomy Address Enumeration
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1033373816 Stacy Leigh Niemann Speech-Language Pathologist 1032 E 100 S, St George, UT 84780 2008-07-11
1275045080 Elite Healthcare Southern Utah LLC Chiropractor 568 W Telegraph St Ste 4, Washington, UT 84780-1206 2017-11-02
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1558515619 Kolene Faye Granger Psychologist - Counseling 1415 N Old Course Rd, Washington, UT 84780-1339 2008-11-15
1629274840 Adam Paul Murie Chiropractor 2250 Coral Canyon Blvd. Ste. 202, Washington, UT 84780 2007-06-25
1710349444 Benjamin Toolson Physical Therapist 568 W Telegraph St Ste 4, Washington, UT 84780-1206 2016-03-22
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Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1215506225 Tasha Milstead Counselor 900 Varney St Se Apt 116, Washington, DC 20032-4314 2021-06-23
1093382756 Cornerstone Kazen Co. Counselor 1835 7th St Nw Ste 126, Washington, DC 20001-3107 2021-06-09
1417532680 Crishone C Johnson Counselor 5448 Bass Pl Se, Washington, DC 20019-6370 2021-03-10
1881289890 Mirta Lisso Carruthers Counselor 6th and Bryant Streets, Washington, DC 20059-0001 2021-03-02
1073105359 Victoria Ashley Altenord Counselor 2501 Good Hope Rd Se, Washington, DC 20020-3011 2021-02-08
1003406315 Lili Johnson Counselor 441 21st St Ne, Washington, DC 20002-4705 2021-01-20
1760084164 Keyona M Fowler Counselor 116 T St Ne Apt 437, Washington, DC 20002-5132 2020-11-10
1952909400 Garrison Dugger Counselor 2502 18th St Se, Washington, DC 20020-3214 2020-10-15
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Zip Code 84780

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Dataset Information

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.