Individual provider Active NPI

Jeri Horky, CSW

  • Mental Health Counselor
  • Salt Lake City, UT
National Provider Identifier
1457190662
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
13867488-3502 Issued in UT
Practice address
5663 S Redwood Rd Unit 2
Salt Lake City, UT 84123-5449
Phone
(801) 742-1297
NPI assigned
May 20, 2024
Last updated
May 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 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 13867488-3502 UT Primary

Addresses

Primary practice location

5663 S Redwood Rd Unit 2
Salt Lake City, UT 84123-5449

Mailing address

5663 S Redwood Rd Unit 2
Salt Lake City, UT 84123-5449
Phone (801) 742-1297

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
13867488-3502UTMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1716163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1457190662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5663 S REDWOOD RD UNIT 2",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841235449",
            "telephone_number": "801-742-1297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5663 S REDWOOD RD UNIT 2",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841235449",
            "telephone_number": "801-742-1297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORKY",
        "first_name": "JERI",
        "credential": "CSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-20",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "13867488-3502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.