Active NPI
Jennifer Solosko, LMFT
- Marriage & Family Therapist
- Sandy, UT
National Provider Identifier
1376979682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 8773008-3902
- Practice address
- 11075 S State St
Unit 3, Suite 102
Sandy, UT 84070-5164 - Phone
- (801) 890-5151
- Fax
- (801) 890-5152
- NPI assigned
- Sep 18, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 8773008-3902 | UT | Primary |
Addresses
Primary practice location
11075 S State St
Unit 3, Suite 102
Sandy, UT 84070-5164
Mailing address
11075 S State St
Unit 3, Suite 102
Sandy, UT 84070-5164
Phone (801) 890-5151
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8773008-3902 | UT | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484179200000",
"number": "1376979682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11075 S STATE ST",
"address_2": "UNIT 3, SUITE 102",
"city": "SANDY",
"state": "UT",
"postal_code": "840705164",
"telephone_number": "801-890-5151",
"fax_number": "801-890-5152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11075 S STATE ST",
"address_2": "UNIT 3, SUITE 102",
"city": "SANDY",
"state": "UT",
"postal_code": "840705164",
"telephone_number": "801-890-5151",
"fax_number": "801-890-5152"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOLOSKO",
"first_name": "JENNIFER",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-09-18",
"last_updated": "2017-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "UT",
"license": "8773008-3902",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sandy, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.