Individual provider Active NPI

Janette M Luna, LCSW

  • Clinical Social Worker
  • West Jordan, UT
National Provider Identifier
1427223601
Registry record updated Apr 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
124911-3501 Issued in UT
Practice address
8541 S Redwood Rd Ste a
West Jordan, UT 84088-9323
Phone
(801) 233-8670
Fax
(801) 621-8682
NPI assigned
Apr 28, 2008
Last updated
Apr 28, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 124911-3501 UT Primary

Addresses

Primary practice location

8541 S Redwood Rd Ste a
West Jordan, UT 84088-9323

Mailing address

8541 S Redwood Rd Ste a
West Jordan, UT 84088-9323
Phone (801) 233-8670

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230126001849 UT Practitioner - Clinical Social Worker 1254702459 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jennifer Fairbourn LMFT LLCGroup PAC ID 5294116455, 7 clinicians

Practice addresses (Care Compare)

7321 S State St
Suite a
Midvale, UT 84047-6105
Phone (801) 878-4327

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jennifer Fairbourn LMFT, LLC CurrentSince Oct 5, 2022 Accepting new patients

Locations

7321 S State St
Ste A
Midvale, UT 84047
Phone (801) 878-4327

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209340800000",
    "number": "1427223601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8541 S REDWOOD RD STE A",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840889323",
            "telephone_number": "801-233-8670",
            "fax_number": "801-621-8682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8541 S REDWOOD RD STE A",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840889323",
            "telephone_number": "801-233-8670",
            "fax_number": "801-621-8682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNA",
        "first_name": "JANETTE",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-28",
        "last_updated": "2008-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "124911-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Jordan, UT

Sources for this page

Verify at the official NPI Registry.