Ann Talley Coburn, LSAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

68526866006 Issued in UT

Practice address

7601 South Redwood Rd.
Building E
West Jordan, UT 84084

Phone

(801) 233-8670

Fax

(801) 233-8682

NPI assigned

Nov 4, 2010

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1288828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288828800000",
    "number": "1699076851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4187 S 3425 W",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841195079",
            "telephone_number": "801-755-1580",
            "fax_number": "801-233-8682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7601 SOUTH REDWOOD RD.",
            "address_2": "BUILDING E",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "84084",
            "telephone_number": "801-233-8670",
            "fax_number": "801-233-8682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBURN",
        "first_name": "ANN",
        "middle_name": "TALLEY",
        "credential": "LSAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-04",
        "last_updated": "2010-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "UT",
            "license": "68526866006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clinical Consultants LLC
• Clinical Consultants, LLC
• Laura Clyde, APRN
• Sara Lin Coats, BSN, RN
• Maurine M. Cobabe, M.D.
• Jessica Coffendaffer, FNP-C
• Alexis Coffman-Anthon, CMHC
• August Colachis
• Spencer N Colby, M.D.
• Nicole Coleman

• Addiction (Substance Use Disorder) Counselor in West Jordan, UT
• Providers in West Jordan, UT by specialty
• Addiction (Substance Use Disorder) Counselor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.