Jordan Adam Zabriskie

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

9665936-3501 Issued in UT

Practice address

825 N 1420 E
Orem, UT 84097-5484

Phone

(801) 425-2150

NPI assigned

Oct 16, 2023

Reactivated

Jul 23, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Whole Mind LLCGroup PAC ID 6406228220, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Whole Mind LLC

  • Psychiatry Physician
  • Pleasant Grove, UT
  • NPI 1659084879
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1697414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1710769674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 N 1420 E",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840975484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 N 1420 E",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840975484",
            "telephone_number": "801-425-2150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1221 S Valley Grove Way Ste 160",
            "address_purpose": "LOCATION",
            "city": "Pleasant Grove",
            "state": "UT",
            "postal_code": "840626758",
            "country_code": "US",
            "telephone_number": "801-477-7189",
            "fax_number": "888-745-9274",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZABRISKIE",
        "first_name": "JORDAN",
        "middle_name": "ADAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-16",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "deactivation_date": "2023-10-23",
        "reactivation_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "9665936-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenni Yvonne Young
• Paul Anthony Young, PHARM.D.
• Teresa Young
• Wayne R Young, MD
• Youthnet Services, LLC
• Kylee Zamora
• Eugene P Zanolli, MD
• Monica Zaugg
• Kaitlin Zavala
• Kynlee Zeller

• Clinical Social Worker in Orem, UT
• Providers in Orem, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.