Jared Wayne Peiffer, LCMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

12921613-6004 Issued in UT

Practice address

9305 S 1300 E
Ste 120
Sandy, UT 84093

Phone

(801) 828-8973

NPI assigned

Apr 7, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1617753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1417536160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10644 SKAMANIA WAY",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "84009",
            "telephone_number": "801-828-8973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9305 S 1300 E",
            "address_2": "STE 120",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "84093",
            "telephone_number": "801-828-8973"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10432 S 4000 W",
            "address_purpose": "LOCATION",
            "city": "South Jordan",
            "state": "UT",
            "postal_code": "840095729",
            "country_code": "US",
            "telephone_number": "801-828-8973",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEIFFER",
        "first_name": "JARED",
        "middle_name": "WAYNE",
        "credential": "LCMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-07",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "12921613-6004",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peak Behavioral Consulting
• Alexzander Pearson
• David A Pearson, MD
• Joseph W Peck, DMD
• Kerry Ann Peck, LCSW
• Taylor Kaine Pelchar, M.S.; PH.D.;NCSP
• Herman J Peleti
• Morton Pellatt, MD
• Paula Cristina Pena
• Ashley Penrod, PA-C

• Mental Health Counselor in Sandy, UT
• Providers in Sandy, UT by specialty
• Mental Health Counselor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.