Individual provider Active NPI

Jennifer Edith James, LCSW

  • Marriage & Family Therapist
  • American Fork, UT
National Provider Identifier
1720131899
Registry record updated Dec 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
5912235-3501 LCSW Issued in UT
Practice address
814 E. Bamberger Drive Suite B
Psychological Assessment & Treatment Specialists, Inc.
American Fork, UT 84003
Phone
(801) 772-0202
Fax
(801) 772-0139
NPI assigned
Jan 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2008

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 5912235-3502 UT
Marriage & Family Therapist 106H00000X 5912235-3501 LCSW UT Primary
Counselor 101Y00000X 5912235-3501 LCSW UT
Social Worker 104100000X 5912235-3501 LCSW UT

Addresses

Primary practice location

814 E. Bamberger Drive Suite B
Psychological Assessment & Treatment Specialists, Inc.
American Fork, UT 84003

Mailing address

814 E. Bamberger Drive Suite B
Psychological Assessment & Treatment Specialists, Inc.
American Fork, UT 84003
Phone (801) 772-0202

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

LicenseStateTypeSpecialty
5912235-3502UTMDClinical Social Worker
5912235-3501 LCSWUTMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological Assessment & Treatment Specialists, Inc Past Accepting new patients

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": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229385600000",
    "number": "1720131899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 E. BAMBERGER DRIVE SUITE B",
            "address_2": "PSYCHOLOGICAL ASSESSMENT & TREATMENT SPECIALISTS, INC.",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "84003",
            "telephone_number": "801-772-0202",
            "fax_number": "801-772-0139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 E. BAMBERGER DRIVE SUITE B",
            "address_2": "PSYCHOLOGICAL ASSESSMENT & TREATMENT SPECIALISTS, INC.",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "84003",
            "telephone_number": "801-772-0202",
            "fax_number": "801-772-0139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMES",
        "first_name": "JENNIFER",
        "middle_name": "EDITH",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-19",
        "last_updated": "2008-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "5912235-3502",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "UT",
            "license": "5912235-3501 LCSW",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "UT",
            "license": "5912235-3501 LCSW",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "UT",
            "license": "5912235-3501 LCSW",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in American Fork, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.