Active NPI
Emily Jardine
- Marriage & Family Therapist
- Salt Lake City, UT
National Provider Identifier
1356017776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 12900569-3902
- Practice address
- 2943 W Parkway Blvd
Salt Lake City, UT 84119-1986 - Phone
- (435) 932-0311
- NPI assigned
- Aug 17, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 12900569-3902 | UT | Primary |
| Marriage & Family Therapist | 106H00000X |
Addresses
Primary practice location
2943 W Parkway Blvd
Salt Lake City, UT 84119-1986
Mailing address
189 N Highway 89
Ste C PMB 3009
North Salt Lake, UT 84054
Phone (435) 932-0311
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12900569-3902 | UT | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773964800000",
"number": "1356017776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "189 N HIGHWAY 89",
"address_2": "STE C PMB 3009",
"city": "NORTH SALT LAKE",
"state": "UT",
"postal_code": "84054",
"telephone_number": "435-932-0311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2943 W PARKWAY BLVD",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841191986",
"telephone_number": "435-932-0311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JARDINE",
"first_name": "EMILY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-17",
"last_updated": "2026-03-20",
"certification_date": "2026-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "UT",
"license": "12900569-3902",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
}
],
"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 Mar 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.