Individual provider Active NPI

Alycia Erika Jurgela, LPC

  • Mental Health Counselor
  • South Salt Lake, UT
National Provider Identifier
1386945095
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
331 W 2700 S
South Salt Lake, UT 84115-2904
Phone
(801) 487-3276
NPI assigned
Nov 11, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X UT Primary

Addresses

Primary practice location

331 W 2700 S
South Salt Lake, UT 84115-2904

Mailing address

1370 S West Temple
Salt Lake City, UT 84115-5218
Phone (801) 678-3317

Other practice location 1

5129 Birchwood Dr
McKinney, TX 75071-6278
Phone (469) 452-9218

Other practice location 2

258 Main St Ste C3
Buzzards Bay, MA 02532-3253
Phone (508) 333-1375

Other practice location 3

345 Old Plymouth Rd
Sagamore Beach, MA 02562-2304
Phone (508) 333-1375

Other practice location 4

114 State Rd
Sagamore Beach, MA 02562-2317
Phone (508) 333-1375

Other identifiers 1

IdentifierTypeStateIssuer
11324OtherMAMENTAL HEALTH LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240205002426 MA Practitioner - Mental Health Counselor 8123363363 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sagamore CounselingGroup PAC ID 2062855265, 3 clinicians

Practice addresses (Care Compare)

114 State Rd
Sagamore Beach, MA 02562-2317
Phone (508) 333-1375

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Utah House Mental Health Current Accepting new patients
Sagamore Counseling CurrentSince Jan 16, 2024 Accepting new patients
St Anthonys House Current Accepting new patients
St Anthony House Treatment Program Mental Health Past Accepting new patients
Saint Anthony'S Treatment House LLC Past Accepting new patients

Locations

258 Main St
Ste C3
Buzzards Bay, MA 02532
Phone (508) 333-1375

345 Old Plymouth Rd
Sagamore Beach, MA 02562
Phone (508) 333-1375

114 State Rd
Sagamore Beach, MA 02562
Phone (508) 333-1375

1370 S West Temple
South Salt Lake, UT 84115
Phone (385) 242-7400

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1289433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1386945095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1370 S WEST TEMPLE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841155218",
            "telephone_number": "801-678-3317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 W 2700 S",
            "city": "SOUTH SALT LAKE",
            "state": "UT",
            "postal_code": "841152904",
            "telephone_number": "801-487-3276"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5129 Birchwood Dr",
            "address_purpose": "LOCATION",
            "city": "McKinney",
            "state": "TX",
            "postal_code": "750716278",
            "country_code": "US",
            "telephone_number": "469-452-9218",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "258 Main St Ste C3",
            "address_purpose": "LOCATION",
            "city": "Buzzards Bay",
            "state": "MA",
            "postal_code": "025323253",
            "country_code": "US",
            "telephone_number": "508-333-1375",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "345 Old Plymouth Rd",
            "address_purpose": "LOCATION",
            "city": "Sagamore Beach",
            "state": "MA",
            "postal_code": "025622304",
            "country_code": "US",
            "telephone_number": "508-333-1375",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "114 State Rd",
            "address_purpose": "LOCATION",
            "city": "Sagamore Beach",
            "state": "MA",
            "postal_code": "025622317",
            "country_code": "US",
            "telephone_number": "508-333-1375",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JURGELA",
        "first_name": "ALYCIA",
        "middle_name": "ERIKA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-11",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MENTAL HEALTH LICENSE",
            "identifier": "11324",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Salt Lake, UT

Sources for this page

Verify at the official NPI Registry.