Jesika Ashleigh Cooper

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Magna, UT

NPI 1336852011 · NPPES record last updated Dec 28, 2022

Key facts

NPI
1336852011
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
2711 S 8500 W
Magna, UT 84044-1307
Phone
(801) 990-4300
Fax
(801) 967-2127
NPI assigned
Dec 28, 2022
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Aspen Ridge Counseling LLC Current
since Jan 1, 2023
Accepting new patients

Locations

2711 S 8500 W
Magna, UT 84044

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X UT Yes

Addresses

Primary practice location

2711 S 8500 W
Magna, UT 84044-1307

Mailing address

PO Box 330
Magna, UT 84044-0330
Phone (801) 990-4300

Other providers in Magna, UT

All providers in Magna, UT · Student in an Organized Health Care Education/Training Program in Utah

Sources for this page

Verify at the official NPI Registry.