Chezlie T Jedrziewski

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

7474516-6004 Issued in UT

Practice address

1336 S 1100 E
Salt Lake City, UT 84105-2421

Phone

(801) 251-6775

NPI assigned

May 5, 2010

Sex

Female

Sole proprietor

No

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

Practice roles

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.

• Chezdawn Healing and Wellness

  • Mental Health Counselor
  • Salt Lake City, UT
  • NPI 1871440602
  NPD Authorized official

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

{
    "created_epoch": "1273017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653609600000",
    "number": "1598083263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1543 E BROWNING AVE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841052701",
            "telephone_number": "801-414-6183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1336 S 1100 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841052421",
            "telephone_number": "801-251-6775"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2872 S Highland Drive",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "84106",
            "country_code": "US",
            "telephone_number": "801-485-8051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEDRZIEWSKI",
        "first_name": "CHEZLIE",
        "middle_name": "T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-05",
        "last_updated": "2022-05-27",
        "certification_date": "2022-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "7474516-6004",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "74745166009",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• JBR Surgical Associates LLC
• JBR Surgical Center, LLC
• JC Aljammal PLLC
• Jed Vandenberghe MD PC
• Rocky P.J. Jedick, M.D.
• Jolanta Jedrzkiewicz
• Valerie Anne Jeerings Blaylock
• Ann Jefferds, MD
• Kristen A Jefferies, PHARMD
• Graciela Jeffers, APRN

• Mental Health Counselor in Salt Lake City, UT
• Providers in Salt Lake City, 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 May 27, 2022; 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.