Jessica Lee

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

12094206-3501 Issued in UT

Practice address

498 N Kays Dr Ste 210
Kaysville, UT 84037-4153

Phone

(801) 738-4653

NPI assigned

Oct 31, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Gold Counseling

  • Clinical Social Worker
  • Kaysville, UT
  • NPI 1023602547
  Medicare reassignment

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

{
    "created_epoch": "1414713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708819200000",
    "number": "1477958593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "498 N KAYS DR STE 210",
            "city": "KAYSVILLE",
            "state": "UT",
            "postal_code": "840374153",
            "telephone_number": "801-738-4653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "498 N KAYS DR STE 210",
            "city": "KAYSVILLE",
            "state": "UT",
            "postal_code": "840374153",
            "telephone_number": "801-738-4653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-31",
        "last_updated": "2024-02-25",
        "certification_date": "2024-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "12094206-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karson Sateki Kinikini, CMHC
• Jeffrey Kirkham, FNP
• Patricia Kuriyama, MAC, LPC, CMHC
• Whitney Blair Larsen, LMFT
• Laurel Elizabeth Black
• Amy C Lemmon, CRNA
• Adrian Lependu, D.D.S.
• Nicholas Lieb, DMD
• Life Long Wellness PC
• Life Spring Pain Management, LLC

• Clinical Social Worker in Kaysville, UT
• Providers in Kaysville, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.