Individual provider Active NPI

Jayden Freeman

  • Clinical Social Worker
  • Layton, UT
National Provider Identifier
1710423579
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12236521-3501 Issued in UT
Practice address
880 Heritage Park Blvd Ste 230
Layton, UT 84041-5675
Phone
(385) 393-4057
NPI assigned
Jan 17, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 12236521-3501 UT Primary

Addresses

Primary practice location

880 Heritage Park Blvd Ste 230
Layton, UT 84041-5675

Mailing address

880 Heritage Park Blvd Ste 230
Layton, UT 84041-5675
Phone (385) 393-4057

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Dec 18, 2025 through Dec 18, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
12236521-3501UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Connections Counseling, LLC Clinical CurrentSince Dec 22, 2024 Accepting new patients

Locations

880 Heritage Park Blvd
Ste 230
Layton, UT 84041
Phone (385) 393-4057

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1484611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734652800000",
    "number": "1710423579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 HERITAGE PARK BLVD STE 230",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840415675",
            "telephone_number": "385-393-4057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 HERITAGE PARK BLVD STE 230",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840415675",
            "telephone_number": "385-393-4057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "JAYDEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-17",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "12236521-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Layton, UT

Sources for this page

Verify at the official NPI Registry.