Organization Active NPI

Jenny Jo Holdings Ince

  • Clinical Social Worker
  • Salt Lake City, UT
National Provider Identifier
1780117556
Registry record updated Apr 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
57349863501 Issued in UT
Legal business name
JENNY JO HOLDINGS INCE
Practice address
2180 E 4500 S
Suite 105
Salt Lake City, UT 84117-4434
Phone
(801) 214-1582
NPI assigned
Apr 7, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2017

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

Authorized official

Name
Jenny Jo Tuttle, LCS
Title
Ownver
Phone
(801) 214-1582

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 57349863501 UT Primary

Addresses

Primary practice location

2180 E 4500 S
Suite 105
Salt Lake City, UT 84117-4434

Mailing address

2840 S Beverly St
Salt Lake City, UT 84106-3170
Phone (801) 913-0760

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1491523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491523200000",
    "number": "1780117556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2840 S BEVERLY ST",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841063170",
            "telephone_number": "801-913-0760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2180 E 4500 S",
            "address_2": "SUITE 105",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841174434",
            "telephone_number": "801-214-1582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNY JO HOLDINGS INCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-07",
        "last_updated": "2017-04-07",
        "status": "A",
        "authorized_official_last_name": "TUTTLE",
        "authorized_official_first_name": "JENNY JO",
        "authorized_official_title_or_position": "OWNVER",
        "authorized_official_telephone_number": "801-214-1582",
        "authorized_official_credential": "LCS"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "57349863501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2017; 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.