Active NPI
Jessica Wells
- Counselor
- Salt Lake City, UT
National Provider Identifier
1174914667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 724 E 2100 S Ste B
Salt Lake City, UT 84106-1830 - Phone
- (801) 487-0499
- NPI assigned
- Feb 5, 2015
- Last updated
- Jul 21, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
724 E 2100 S Ste B
Salt Lake City, UT 84106-1830
Mailing address
724 E 2100 S Ste B
Salt Lake City, UT 84106-1830
Phone (801) 487-0499
Other practice location 1
750 N Freedom Blvd
Provo, UT 84601-1677
Phone (801) 373-4760
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LDS Family Services | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba LDS Family Services wA Seattle Agency
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Renton, WA
- NPI 1073726485
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1174914667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "724 E 2100 S STE B",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841061830",
"telephone_number": "801-487-0499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "724 E 2100 S STE B",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841061830",
"telephone_number": "801-487-0499"
}
],
"practiceLocations": [
{
"address_1": "750 N Freedom Blvd",
"address_purpose": "LOCATION",
"city": "Provo",
"state": "UT",
"postal_code": "846011677",
"country_code": "US",
"telephone_number": "801-373-4760",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WELLS",
"first_name": "JESSICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-05",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.