Angela Marie Jette Swanson, PH.D.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

4928114-2501 Issued in UT

Practice address

1400 Foothill Dr Ste 24
Salt Lake City, UT 84108-2392

Phone

(801) 581-0422

NPI assigned

Nov 1, 2006

Sex

Female

Sole proprietor

Yes

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Oct 1, 2018 through Oct 1, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Burton Counseling

  • Community/Behavioral Health Agency
  • Salt Lake City, UT
  • NPI 1003144684
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043397375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 MATTERHORN DR",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840985230",
            "telephone_number": "435-640-2677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 FOOTHILL DR STE 24",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841082392",
            "telephone_number": "801-581-0422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JETTE SWANSON",
        "first_name": "ANGELA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "UT",
            "license": "4928114-2501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob E Jessop, DO
• Katherine Marie Jessop, M.D.
• Terry Carson Jessop, MD
• Aleesha Rose Jessup
• Jesse Jessup
• Tawni Lynn Jetter, APRN
• Matija Jevtic, L.AC
• Elaine D. Jewett, C.S.W.
• Jewish Family Service
• Jewish Family Service

• Counseling Psychologist in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Counseling Psychologist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.