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Active NPI 1255657201 Individual Practitioner Male Practitioner

Blake Denver Altom , MS, MFT INTERN

Foster Care Agency • Logan, UT

Professional Overview & Biography Verified Profile Summary

Blake Altom, MS, MFT INTERN is a registered healthcare professional specializing in Foster Care Agency in Logan, UT. Practice services are available at 242 ROSEWOOD CIR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

242 Rosewood Cir

Logan, UT 843215045

Telephone 4355121304

Specialty Benchmarks & Practice Insights

Comparative analytics for Foster Care Agency in Logan, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
6 Specialists

Practicing in Logan, UT (191 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Foster Care Agency Primary Specialty

NUCC Taxonomy Code: 253J00000X

A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as "24-hour substitute care for children outside their own homes." Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes.

Marriage & Family Therapist

NUCC Taxonomy Code: 106H00000X

State License UT 7195889-3904

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 15, 2010

NPI status registered as active in NPPES database

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Updated Practice Location April 15, 2010

Registered at 242 ROSEWOOD CIR, LOGAN, UT 843215045 (Tel: 4355121304)

📍
Updated Business Mailing Address April 15, 2010

Registered at 242 ROSEWOOD CIR, LOGAN, UT 843215045 (Tel: 4355121304)

👤
Provider Name / Credentials Updated April 15, 2010

Recorded as BLAKE ALTOM, M.S., MFT INTERN

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 15, 2010

Marriage & Family Therapist (License #7195889-3904 in UT)

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Initial NPI Registration & Enumeration April 15, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1255657201
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 15, 2010
Last Update: April 15, 2010
Sole Proprietor: Yes

Mailing Address

242 Rosewood Cir

Logan, UT 843215045

Phone: 4355121304

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.