NPIMap

Organization Active NPI

Jackie Z Rock LLC

  • Mental Health Counselor
  • Sandy, UT
National Provider Identifier
1730785940
Registry record updated Dec 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
JACKIE Z ROCK LLC
Practice address
123 E Main St
Sandy, UT 84070-1509
Phone
(801) 448-7811
NPI assigned
Dec 11, 2020
Last updated
Dec 11, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2020

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

Authorized official

Name
Jackie Z Rock, LCMHCNPI 1780962464
Title
Mental Health Counselor
Phone
(801) 448-7811

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

123 E Main St
Sandy, UT 84070-1509

Mailing address

123 E Main St
Sandy, UT 84070-1509
Phone (801) 448-7811

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://jcounseling.clientsecure.me Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1607644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607644800000",
    "number": "1730785940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 E MAIN ST",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840701509",
            "telephone_number": "801-448-7811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 E MAIN ST",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840701509",
            "telephone_number": "801-448-7811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKIE Z ROCK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-11",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "status": "A",
        "authorized_official_last_name": "ROCK",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_middle_name": "Z",
        "authorized_official_title_or_position": "MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "801-448-7811",
        "authorized_official_credential": "LCMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://jcounseling.clientsecure.me",
            "affiliation": "N",
            "endpointDescription": "online EHR and patient portal",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "123 E Main St",
            "city": "Sandy",
            "state": "UT",
            "country_code": "US",
            "postal_code": "840701509",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sandy, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2020; 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.