Jennifer Day Walker, MA, MMFT, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

11297521-3902 Issued in UT

Practice address

186 E 1800 N
North Logan, UT 84341-2019

Phone

(435) 213-3062

Fax

(435) 752-1095

NPI assigned

Mar 20, 2022

Last updated

Mar 20, 2022By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Feb 20, 2024 through Feb 20, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Camille Webb LLC

  • Clinical Social Worker
  • North Logan, UT
  • NPI 1942164116
  NPD

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

{
    "created_epoch": "1647734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647734400000",
    "number": "1730838558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 E 1800 N",
            "city": "NORTH LOGAN",
            "state": "UT",
            "postal_code": "843412019",
            "telephone_number": "435-213-3062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 E 1800 N",
            "city": "NORTH LOGAN",
            "state": "UT",
            "postal_code": "843412019",
            "telephone_number": "435-213-3062",
            "fax_number": "435-752-1095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "JENNIFER",
        "middle_name": "DAY",
        "credential": "MA, MMFT, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-20",
        "last_updated": "2022-03-20",
        "certification_date": "2022-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "UT",
            "license": "11297521-3902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ian Michael Troesoyer, FNP-C
• University of Utah Cache Valley Emergency Medicine
• Valley Obstetrics and Gynecology, PC
• Vision Care 20/20 of Nevada Inc
• Visionhealth Eyecare PLLC
• Jeanne M Wallace, PHD
• Walmart Inc.
• Abigail Weaver
• Boston Webb, DMD
• Camille Webb, LCSW

• Marriage & Family Therapist in North Logan, UT
• Providers in North Logan, UT by specialty
• Marriage & Family Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2022; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.