Individual provider Active NPI

Jaden Michael Olson, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Draper, UT
National Provider Identifier
1407533185
Registry record updated Nov 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11285697-4405 Issued in UT
Practice address
721 E 12200 S
Draper, UT 84020-9723
Phone
(801) 369-8989
NPI assigned
Jul 3, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11285697-4405 UT Primary

Addresses

Primary practice location

721 E 12200 S
Draper, UT 84020-9723

Mailing address

1105 Hislop Dr
Ogden, UT 84404-5315
Phone (801) 719-4761

Other practice location 1

3293 Harrison Blvd Ste 200
Ogden, UT 84403-5504
Phone (801) 436-7672

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230809001565 UT Practitioner - Nurse Practitioner 9436511334 Reassigns benefits to 1 organization
Practice locations: Ogden, UT

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Group practices
Numinus Wellness Ut IncGroup PAC ID 2163750688, 50 clinicians

Practice addresses (Care Compare)

3293 Harrison Blvd
Suite 200
Ogden, UT 84403-5504

3293 Harrison Blvd
Suite 255
Ogden, UT 84403-5503
Phone (801) 436-7672

672 W 400
Suite 201
Springville, UT 84663-3170
Phone (801) 369-8989

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11285697-4405UTMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ogden Psychiatry PLLC Psychiatric/Mental Health CurrentSince Oct 8, 2025 Accepting new patients
Numinus Wellness Ut Inc CurrentSince Jul 17, 2023 Accepting new patients
Ogden Internal Medicine & Urology LLC PastSince Jul 17, 2023 Accepting new patients

Locations

48 N 1100 E
Ste B
American Fork, UT 84003
Phone (801) 492-9934

721 E 12200 S
#101
Draper, UT 84020

2950 N Church St
Ste 101
Layton, UT 84040
Phone (801) 771-7202

154 E Myrtle Ave
Ste 204
Salt Lake City, UT 84107
Phone (801) 266-9300

672 W 400 S
Ste 201
Springville, UT 84663
Phone (208) 680-8226

Interoperability endpoints

  • Direct secure messaging: jaden.olson.1@17324.direct.athenahealth.com

Organizations & group practices 3

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": "1688342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763164800000",
    "number": "1407533185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 HISLOP DR",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844045315",
            "telephone_number": "801-719-4761",
            "fax_number": "949-810-6923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 E 12200 S",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840209723",
            "telephone_number": "801-369-8989"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3293 Harrison Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Ogden",
            "state": "UT",
            "postal_code": "844035504",
            "country_code": "US",
            "telephone_number": "801-436-7672",
            "fax_number": "949-810-6923",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLSON",
        "first_name": "JADEN",
        "middle_name": "MICHAEL",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-03",
        "last_updated": "2025-11-15",
        "certification_date": "2025-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "UT",
            "license": "11285697-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Draper, UT

Sources for this page

Verify at the official NPI Registry.