Jackie Z Rock, LCMHC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

5886956-6004 Issued in UT

Practice address

123 E Main St
Sandy, UT 84070

Phone

(801) 448-7811

Fax

(801) 877-0873

NPI assigned

Jul 28, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jackie Z Pazooki Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Jackie Z Rock LLC

  • Mental Health Counselor
  • Sandy, UT
  • NPI 1730785940
  NPD Authorized official

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

{
    "created_epoch": "1311811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396569600000",
    "number": "1780962464",
    "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": "84070",
            "telephone_number": "801-448-7811",
            "fax_number": "801-877-0873"
        },
        {
            "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": "84070",
            "telephone_number": "801-448-7811",
            "fax_number": "801-877-0873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCK",
        "first_name": "JACKIE",
        "middle_name": "Z",
        "credential": "LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-28",
        "last_updated": "2014-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "UT",
            "license": "5886956-6004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACKIE",
            "last_name": "PAZOOKI",
            "middle_name": "Z",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Robert W Later MD PC
• Anne Hollingsworth Roberts, APRN
• Devin C Robinson
• Mark Christian Robison, MD
• Kayleigh Simone Robles
• Rocky Mountain Medical, Inc
• Jackie P. Rodat, LMFT
• Hugh J Roddy, MD
• Kenneth C. Rodgers, PH.D.
• Cindy Melo Rodgerson

• Professional Counselor in Sandy, UT
• Providers in Sandy, UT by specialty
• Professional Counselor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2014; 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.