Active NPI
Janine Wanlass, PH.D.
- Counseling Psychologist
- Salt Lake City, UT
National Provider Identifier
1679771224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 363402-2501
- Practice address
- 350 S 400 E
Suite 121E
Salt Lake City, UT 84111-2908 - Phone
- (801) 328-9204
- NPI assigned
- Jul 5, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 363402-2501 | UT | Primary |
Addresses
Primary practice location
350 S 400 E
Suite 121E
Salt Lake City, UT 84111-2908
Mailing address
1641 Garfield Ave
Salt Lake City, UT 84105-3810
Phone (801) 487-4403
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 363402-2501 | UT | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679771224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1641 GARFIELD AVE",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841053810",
"telephone_number": "801-487-4403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 S 400 E",
"address_2": "SUITE 121E",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841112908",
"telephone_number": "801-328-9204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANLASS",
"first_name": "JANINE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "UT",
"license": "363402-2501",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.