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MARY THIBODEAU
NPI 1407301633
Peer Specialist in Salt Lake City, UT

Active since August 17, 2016
344 E 100 S, STE 301, SALT LAKE CITY, UT 84111(801) 322-4257(801) 478-2686 Get Directions Write a Review

NPPES record last updated: August 17, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary Thibodeau NPPES

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

MARY THIBODEAU (NPI 1407301633) is an individual peer specialist in Salt Lake City, Utah and active in the NPI registry since August 2016.

NPPES Registry Identity

NPI1407301633
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameMARY THIBODEAU
Location Address344 E 100 S, STE 301Salt Lake City, UT 84111-1700
Mailing Address344 E 100 S, Ste 301Salt Lake City, UT 84111-1700 · (801) 322-4257 · Fax (801) 478-2686
Phone(801) 322-4257
Fax(801) 478-2686
Sole ProprietorNo
Enumeration DateAugust 17, 2016
✔ NPI 1407301633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
344 E 100 S, Salt Lake City, UT 84111
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JESSE ALRED
Community Health Worker
344 E 100 S, SUITE 301
SALT LAKE CITY, UT 84111
Salt Lake County (662) 213-5113
MS. KASSANDRA ROMERO
Community Health Worker
344 E 100 S, SUITE 301
SALT LAKE CITY, UT 84111
Salt Lake County (801) 322-4257
TANNA FAY ESKELSEN
Community Health Worker
344 E 100 S, 301
SLC, UT 84111
Salt Lake County (801) 322-4257
ASHLEY BASSETT
Peer Specialist
344 E 100 S, STE 301
SALT LAKE CITY, UT 84111
Salt Lake County (801) 322-4257
LAVINIA FONUA
Case Manager/Care Coordinator
344 E 100 S
SALT LAKE CITY, UT 84111
Salt Lake County (801) 322-3222
BRANDY K KOFFEL
Case Manager/Care Coordinator
344 E 100 S
SALT LAKE CITY, UT 84111
Salt Lake County (801) 322-3222
CHRISTOPHER SIMMONS
Case Manager/Care Coordinator
344 E 100 S
SALT LAKE CITY, UT 84111
Salt Lake County (801) 322-3222
JULEE MARES
Case Manager/Care Coordinator
344 E 100 S
SALT LAKE CITY, UT 84111
Salt Lake County (801) 322-3222

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 Mary Thibodeau's NPI number?

The NPI number for Mary Thibodeau is 1407301633. It was assigned to this individual provider in the NPPES registry on August 17, 2016.

Where is Mary Thibodeau located?

Mary Thibodeau practices at 344 E 100 S Ste 301, Salt Lake City, UT 84111. The listed phone number is (801) 322-4257.

What is Mary Thibodeau's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Mary Thibodeau was last updated on August 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.