Active NPI
Jamison Douglas Law, CPCI
- Professional Counselor
- Salt Lake City, UT
National Provider Identifier
1699706168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 56338026009
- Practice address
- 32 W Winchester St
Suite 101
Salt Lake City, UT 84107-5607 - Phone
- (801) 263-6367
- Fax
- (801) 236-3670
- NPI assigned
- Jul 5, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 56338026009 | UT | Primary |
Addresses
Primary practice location
32 W Winchester St
Suite 101
Salt Lake City, UT 84107-5607
Mailing address
3812 Chilton Circle
Eagle Mountian, UT 84005
Phone (801) 789-6023
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
| License | State | Type | Specialty |
|---|---|---|---|
| 56338026009 | UT | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1699706168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3812 CHILTON CIRCLE",
"city": "EAGLE MOUNTIAN",
"state": "UT",
"postal_code": "84005",
"telephone_number": "801-789-6023",
"fax_number": "801-263-6370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32 W WINCHESTER ST",
"address_2": "SUITE 101",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841075607",
"telephone_number": "801-263-6367",
"fax_number": "801-236-3670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAW",
"first_name": "JAMISON",
"middle_name": "DOUGLAS",
"credential": "CPCI",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "UT",
"license": "56338026009",
"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.