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Deactivated NPI 1295194306 Deactivated / Inactive NPI Female Practitioner

Marilyn Sundblom

Counselor • Springville, UT

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Marilyn Sundblom has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 17, 2016
NPI Deactivation Date May 11, 2020
Total Practice Duration ~4 Years of Practice (2016 – 2020)

Professional Overview & Biography Verified Profile Summary

Marilyn Sundblom was a registered Counselor practicing in Springville, UT. Throughout an active medical career spanning 4 years, Marilyn Sundblom provided care at the practice location at 680 E 100 N until profile deactivation on 2020-05-11.

Practice Location & Contact Primary Location

Practice Address

680 E 100 N

Springville, UT 846631510

Telephone 3852078726

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Springville, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.9 Yrs
Regional Practice Density
75 Specialists

Practicing in Springville, UT (3535 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

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

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.

Career & Practice History Timeline

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

12 Historical Events
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NPI Profile Deactivated May 11, 2020

Record deactivated on May 11, 2020

NPI Profile Active January 24, 2017

NPI status registered as active in NPPES database

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Updated Practice Location January 24, 2017

Registered at 1726 BUCKLEY DRIVE, PROVO, UT 84606 (Tel: 8013736562)

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Updated Business Mailing Address January 24, 2017

Registered at 857 EAST 200 SOUTH, SALT LAKE CITY, UT 84102 (Tel: 8014873276)

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Provider Name / Credentials Updated January 24, 2017

Recorded as MARILYN SUNDBLOM

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 24, 2017

Social Worker

NPI Profile Active February 17, 2016

NPI status registered as active in NPPES database

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Updated Practice Location February 17, 2016

Registered at 680 E 100 N, SPRINGVILLE, UT 846631510 (Tel: 3852078726)

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Updated Business Mailing Address February 17, 2016

Registered at 680 E 100 N, SPRINGVILLE, UT 846631510 (Tel: 3852078726)

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Provider Name / Credentials Updated February 17, 2016

Recorded as MARILYN SUNDBLOM

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 17, 2016

Counselor

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Initial NPI Registration & Enumeration February 17, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1295194306
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 17, 2016
Last Update: February 17, 2016
Deactivation Date: May 11, 2020

Mailing Address

680 E 100 N

Springville, UT 846631510

Phone: 3852078726

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.