Jessica Pay, AAS
Individual provider Active NPI Counselor · Moroni, UT
NPI 1225537707 · NPPES record last updated Feb 9, 2018
Key facts
- NPI
- 1225537707
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 2860 East 19500 North
Moroni, UT 84646 - Phone
- (435) 262-1217
- NPI assigned
- Feb 9, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Associate of Applied Science
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
2860 East 19500 North
Moroni, UT 84646
Mailing address
585 North 200 East
Moroni, UT 84646
Phone (435) 851-1826
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235458555 | Medicaid | UT |
Other providers in Moroni, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 9, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.