Jason M Nelson, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

4982451-3902 Issued in UT

Practice address

3740 Market Center Dr Ste 1200
Riverton, UT 84065-8026

Phone

(801) 240-9436

Fax

(801) 240-9452

NPI assigned

Jan 10, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• LDS Family Services

  dba LDS Family Services wA Seattle Agency

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Renton, WA
  • NPI 1073726485
  NPD (past)

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335225600000",
    "number": "1205986627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3740 MARKET CENTER DR STE 1200",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840658026",
            "telephone_number": "801-240-9436",
            "fax_number": "801-240-9452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3740 MARKET CENTER DR STE 1200",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840658026",
            "telephone_number": "801-240-9436",
            "fax_number": "801-240-9452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "JASON",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2012-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "ID",
            "license": "LMFT-3504",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "UT",
            "license": "4982451-3902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darren K. Neeley, DPT
• Jonathan Michael Neilson, DNP
• Tamera Lee Neilson, LCSW
• Amanda Jill Nelsen, MED, LPC
• Cameron Bryce Nelson, PT, DPT, CBIS
• Kirsten Nelson
• Raechel Nelson, DDS
• New Horizon Medical Care Inc
• Dawn Nichols
• Cicely Irene Nickerson

• Marriage & Family Therapist in Riverton, UT
• Providers in Riverton, UT by specialty
• Marriage & Family Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.