JESSICA WELLS (NPI# 1174914667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174914667 |
| Entity Type | Individual |
| Full Name | JESSICA WELLS |
| Practice Address |
724 E 2100 S Ste B Salt Lake City UT 84106-1830 |
| Practice Telephone | 8014870499 |
| Mailing Telephone | (801) 487-0499 |
| Enumeration Date | 2015-02-05 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 750 N Freedom Blvd, Provo, UT 846011677 | 8013734760 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659996890 | Jessica Wells | Behavior Technician | 3027 El Dorado, Alamogordo, NM 88310-3970 | 2020-06-13 |
| 1255996807 | Jessica Wells | Social Worker | 313 East Anderson Lane, Suite 120, Austin, TX 78752 | 2019-05-08 |
| 1215481106 | Jessica Wells | Lactation Consultant, Non-RN | 412 E 29th St, Vancouver, WA 98663-2706 | 2016-08-08 |
| 1578916417 | Jessica Wells | Dentist | 1933 E A St, Casper, WY 82601-2224 | 2016-07-15 |
| 1255652913 | Jessica Wells | Physical Therapy Assistant | 2103c Old County Rd, Pocahontas, AR 72455-4137 | 2010-06-17 |
| 1730709494 | Jessica Wells | Internal Medicine | 29000 Center Ridge Rd, Westlake, OH 44145-5219 | 2020-04-23 |
| 1417511452 | Jessica Wells | Occupational Therapist | 1727 Imperial Blvd Bldg 3, Lake Charles, LA 70605-5393 | 2019-04-25 |
| 1174089262 | Jessica Wells | Counselor | 111 S Treaty Rd, Miami, OK 74354-5327 | 2019-02-14 |
| 1215492046 | Jessica Wells | Counselor | 1554 W Beebe Capps Expy, Searcy, AR 72143-5169 | 2019-02-06 |
| 1952876369 | Jessica Shari Wells | Nurse Practitioner | 477 Windsor St Sw, Atlanta, GA 30312-2530 | 2018-10-11 |
| Street Address |
724 E 2100 S STE B |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84106-1830 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902456932 | Hannah Joy Moxon | Student in an Organized Health Care Education/Training Program | 724 E 2100 S Ste B, Salt Lake City, UT 84106-1830 | 2019-09-11 |
| 1679122808 | Sara Fryer Mcconkie | Student in an Organized Health Care Education/Training Program | 724 E 2100 S Ste B, Salt Lake City, UT 84106-1830 | 2019-09-10 |
| 1922470467 | Julio Cesar Lachaga Jr. | Marriage & Family Therapist | 724 E 2100 S Ste B, Salt Lake City, UT 84106-1830 | 2015-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801400015 | Tyra Mae Vance | Counselor | 3375 S 880 E, Salt Lake City, UT 84106 | 2020-09-04 |
| 1316596554 | Adam Davies | Pharmacist | 1280 E Stringham Ave., Salt Lake City, UT 84106 | 2019-09-10 |
| 1558919142 | University of Utah | Pharmacy | 1280 E. Stringham Ave, Suite 101, Salt Lake City, UT 84106 | 2019-08-28 |
| 1588174064 | Aaron Potts | Naturopath | 1945 1100 E, #100, Salt Lake City, UT 84106 | 2017-10-10 |
| 1801335005 | Gretchen Dennison | Nurse Practitioner | 2138 S Highland Dr, Salt Lake City, UT 84106 | 2017-02-21 |
| 1376095794 | Jeannette Daneals | Naturopath | 1945 South 1100 East, Suite 100, Salt Lake City, UT 84106 | 2016-11-02 |
| 1073908703 | Tracey Steinmetz | Massage Therapist | 3300 South 970 East, Suite 7, Salt Lake City, UT 84106 | 2015-03-31 |
| 1275949091 | Amy Deforest Edwards | Counselor | Jewish Family Service, 1111 E Brickyard Rd, Suite 218, Slc, UT 84106 | 2014-07-02 |
| 1194138636 | Hillary Lowe Taggart | Nurse Practitioner | 3369 S Highland Dr, Salt Lake City, UT 84106 | 2014-06-03 |
| 1487086617 | Herald R. Clark, Dds | Dentist | 3643 S. Highland Drive, Salt Lake City, UT 84106 | 2013-07-30 |
| Find all providers in zip 84106 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| 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. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780281519 | Sitti Suhardi | Counselor | 2550 S Main St Apt 1307, Salt Lake City, UT 84115-3071 | 2020-10-05 |
| 1801400015 | Tyra Mae Vance | Counselor | 3375 S 880 E, Salt Lake City, UT 84106 | 2020-09-04 |
| 1033721394 | Salt Lake Therapy Collective | Counselor | 311 S 900 E Ste 103, Salt Lake City, UT 84102-2491 | 2020-08-18 |
| 1083172704 | Brooke Pyper | Counselor | 335 W Bugatti Dr, Salt Lake City, UT 84115-2521 | 2019-03-12 |
| 1881168185 | Korilynn Cheatham Bartley | Counselor | 124 S 400 E Ste 300, Salt Lake City, UT 84111-5307 | 2019-01-20 |
| 1164910089 | Gerald Louis Costley | Counselor | 339 E 3900 S Ste 155, Salt Lake City, UT 84107-1978 | 2018-04-26 |
| 1912412867 | Jackson Patrick Collins | Counselor | 1650 E 6670 S, Salt Lake City, UT 84121-2760 | 2017-12-13 |
| 1891225678 | Phil Edward Francis | Counselor | 4000 S 700 E Ste 9, Salt Lake City, UT 84107-2581 | 2017-06-14 |
| 1063866549 | Dustin Palmer | Counselor | 344 E 100 S # 230, Salt Lake City, UT 84111 | 2016-04-20 |
| 1740642735 | Misty Tae Ungricht | Counselor | 4460 S Highland Dr Ste 2106b, Salt Lake City, UT 84124-3543 | 2016-03-28 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84106 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.