Active NPI
Mark Evan Jueschke, MA
- Marriage & Family Therapist
- Draper, UT
National Provider Identifier
1659546349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 11360901-3902
- Practice address
- 12226 S 1000 E Ste 9
Draper, UT 84020-3211 - Phone
- (801) 889-5134
- Fax
- (801) 889-2003
- NPI assigned
- Apr 24, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 11360901-3902 | UT | Primary |
Addresses
Primary practice location
12226 S 1000 E Ste 9
Draper, UT 84020-3211
Mailing address
12226 S 1000 E Ste 9
Draper, UT 84020-3211
Phone (801) 889-5134
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11360901-3904 | UT | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Draper Ridge Counseling Services | Marriage & Family Therapist | Current | Accepting new patients |
| LDS Family Services | Past | Accepting new patients |
Locations
12226 S 1000 E
Ste 9
Draper, UT 84020
Phone (435) 709-6771
12401 S 450 E
Unit B2
Draper, UT 84020
Phone (801) 244-2021
Organizations & group practices 2
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.
-
- Marriage & Family Therapist
- Draper, UT
- NPI 1932980026
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Colton, CA
- NPI 1386765345
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782950400000",
"number": "1659546349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12226 S 1000 E STE 9",
"city": "DRAPER",
"state": "UT",
"postal_code": "840203211",
"telephone_number": "801-889-5134",
"fax_number": "801-889-2003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12226 S 1000 E STE 9",
"city": "DRAPER",
"state": "UT",
"postal_code": "840203211",
"telephone_number": "801-889-5134",
"fax_number": "801-889-2003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUESCHKE",
"first_name": "MARK",
"middle_name": "EVAN",
"name_prefix": "Mr.",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-04-24",
"last_updated": "2026-07-02",
"certification_date": "2026-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "UT",
"license": "11360901-3902",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Draper, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.