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BERGEN D RUSSON
NPI 1861952913
Recreation Therapist in South Jordan, UT

Active since March 24, 2019
11175 S REDWOOD RD, SOUTH JORDAN, UT 84095(801) 359-4600 Get Directions Write a Review

NPPES record last updated: March 24, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bergen D Russon NPPES

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

BERGEN D RUSSON (NPI 1861952913) is an individual recreation therapist in South Jordan, Utah, licensed in Utah (11046853-4002) and active in the NPI registry since March 2019.

NPPES Registry Identity

NPI1861952913
Entity TypeIndividualFemale
Primary Taxonomy225800000X
Provider Legal NameBERGEN D RUSSON
Location Address11175 S REDWOOD RDSouth Jordan, UT 84095-8208
Mailing Address11175 S Redwood RdSouth Jordan, UT 84095-8208 · (801) 359-4600
Phone(801) 359-4600
Sole ProprietorNo
Enumeration DateMarch 24, 2019
✔ NPI 1861952913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRecreation TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225800000X
License✔ Licensed in UT · 11046853-4002
Definition
A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient.
11175 S REDWOOD RD, South Jordan, UT 84095
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Other Providers at the Same Location NPPES 8

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

JILL HODGE
Marriage & Family Therapist
11175 S REDWOOD RD
SOUTH JORDAN, UT 84095
Salt Lake County (801) 484-9911
ROBERT SCOTT JONES CMHC
Counselor (Mental Health)
11175 S REDWOOD RD
SOUTH JORDAN, UT 84095
Salt Lake County (801) 550-9532
RICHARD MICHAEL REIMANN ASUDC SSW
Counselor (Addiction (Substance Use Disorder))
11175 S REDWOOD RD
SOUTH JORDAN, UT 84095
Salt Lake County (801) 484-9911
MATTHEW MAYA
Social Worker (Clinical)
11175 S REDWOOD RD
SOUTH JORDAN, UT 84095
Salt Lake County (801) 699-1759
RULON MARK HINCKLEY PHD, LMFT
Social Worker (Clinical)
11175 S REDWOOD RD
SOUTH JORDAN, UT 84095
Salt Lake County (801) 484-9911
MATTHEW MAYA LCSW
Social Worker (Clinical)
11175 S REDWOOD RD
SOUTH JORDAN, UT 84095
Salt Lake County (801) 699-1759
STILLWATER ACADEMY
Psychiatric Residential Treatment Facility
11175 S REDWOOD RD
SOUTH JORDAN, UT 84095
Salt Lake County (801) 484-9911
TANYA RADOMSKI LMFT
Marriage & Family Therapist
11175 S REDWOOD RD
SOUTH JORDAN, UT 84095
Salt Lake County (801) 484-9911

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 Bergen Russon's NPI number?

The NPI number for Bergen Russon is 1861952913. It was assigned to this individual provider in the NPPES registry on March 24, 2019.

Where is Bergen Russon located?

Bergen Russon practices at 11175 S Redwood Rd, South Jordan, UT 84095. The listed phone number is (801) 359-4600.

What is Bergen Russon's specialty?

The primary specialty registered for this NPI is Recreation Therapist with taxonomy code 225800000X.

When was this NPI record last updated?

The NPPES record for Bergen Russon was last updated on March 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.