Jill Ann Trice, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

133958-3501 Issued in UT

Practice address

1755 N 400 E
Suite 103
Logan, UT 84341-1954

Phone

(435) 760-6721

Fax

(435) 752-0303

NPI assigned

Mar 1, 2007

Last updated

May 29, 2009By the provider in NPPES

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• On Track Counseling LLC

  dba On Track Counseling

  • Community/Behavioral Health Agency
  • Ogden, UT
  • NPI 1962266148
  NPD (past)

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243555200000",
    "number": "1235267121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1755 N 400 E",
            "address_2": "SUITE 103",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843411954",
            "telephone_number": "435-760-6721",
            "fax_number": "435-752-0303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 N 400 E",
            "address_2": "SUITE 103",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843411954",
            "telephone_number": "435-760-6721",
            "fax_number": "435-752-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRICE",
        "first_name": "JILL",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2009-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "133958-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Total Concept Health Care (BEST CAREmed)
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• Triton Supply
• Joann T. Tschanz, PH.D.
• Nathan Christopher Tubbs, LCSW
• Mark Tureson, PT ASSISTANT
• Lauren Pam Turner

• Mental Health Counselor in Logan, UT
• Providers in Logan, UT by specialty
• Mental Health Counselor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2009; 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.