MR. BLAKE DENVER ALTOM M.S., MFT INTERN
NPI 1255657201
Foster Care Agency in Logan, UT

Q: What is Blake Altom's NPI number?

The NPI number for Blake Altom is 1255657201. It was assigned to this individual provider in the NPPES registry on April 15, 2010. The provider is also known as Mr. Blake Altom Blake Altom.

Q: What is Blake Altom's specialty?

The primary specialty registered for this NPI is Foster Care Agency with taxonomy code 253J00000X.

Q: When was this NPI record last updated?

The NPPES record for Blake Altom was last updated on April 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 15, 2010

242 ROSEWOOD CIR, LOGAN, UT 84321(435) 512-1304 Get Directions Write a Review

NPPES record last updated: April 15, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Blake Denver Altom M.s., Mft Intern NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. BLAKE DENVER ALTOM M.S., MFT INTERN (NPI 1255657201) is an individual foster care agency provider in Logan, Utah and active in the NPI registry since April 2010.

NPPES Registry Identity

NPI1255657201

Entity TypeIndividualMale

Primary Taxonomy253J00000X

Provider Legal NameMR. BLAKE DENVER ALTOMCredential: M.S., MFT INTERN

Location Address242 ROSEWOOD CIRLogan, UT 84321-5045

Mailing Address242 Rosewood CirLogan, UT 84321-5045 · (435) 512-1304

Phone(435) 512-1304

Sole ProprietorYes

Enumeration DateApril 15, 2010

✔ NPI 1255657201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFoster Care AgencyAgencies

Taxonomy Code253J00000X

Definition

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.

Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License 7195889-3904 (UT)

242 ROSEWOOD CIR, Logan, UT 84321

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Other Names 1

Other Name (5)Mr. Blake Altom Blake Altom

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blake Altom's NPI number?

The NPI number for Blake Altom is 1255657201. It was assigned to this individual provider in the NPPES registry on April 15, 2010. The provider is also known as Mr. Blake Altom Blake Altom.

Where is Blake Altom located?

Blake Altom practices at 242 Rosewood Cir, Logan, UT 84321. The listed phone number is (435) 512-1304.

What is Blake Altom's specialty?

The primary specialty registered for this NPI is Foster Care Agency with taxonomy code 253J00000X.

When was this NPI record last updated?

The NPPES record for Blake Altom was last updated on April 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.