Jenna Shirley Counseling

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

JENNA SHIRLEY COUNSELING

Practice address

1290 S 500 W Ste 300
Woods Cross, UT 84010-8104

Phone

(801) 734-0581

NPI assigned

Jul 22, 2021

Last updated

Jul 22, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jenna Shirley, LCSWNPI 1548568371

Title

Owner

Phone

(801) 734-0581

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jenna Lee Shirley

  • Clinical Social Worker
  • Woods Cross, UT
  • NPI 1548568371
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1626912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626912000000",
    "number": "1376116764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3983 S 855 E",
            "city": "MILLCREEK",
            "state": "UT",
            "postal_code": "841072366",
            "telephone_number": "801-734-0581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1290 S 500 W STE 300",
            "city": "WOODS CROSS",
            "state": "UT",
            "postal_code": "840108104",
            "telephone_number": "801-734-0581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNA SHIRLEY COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-22",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A",
        "authorized_official_last_name": "SHIRLEY",
        "authorized_official_first_name": "JENNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-734-0581",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Interpath, P.C.
• Ryan Larry Jeffs, MS LMFT
• Gregory Wallace Johnson, RT
• Jason Alan Johnson, M.D.
• Kimberly Scarlet Jones, C-SUD-C
• Lachelle Richardson Jones, LCSW
• Allison Christa Klepzig, LCSW

• Community/Behavioral Health Agency in Woods Cross, UT
• Providers in Woods Cross, UT by specialty
• Community/Behavioral Health Agency in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.