Individual provider Active NPI

Jessica E Katz, MS, LMHC, LCMHC, LPC

  • Mental Health Counselor
  • Salt Lake City, UT
National Provider Identifier
1790064145
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
11736106-6004 Issued in UT
Practice address
50 W Broadway, Ste 333 PMB 357717
Salt Lake City, UT 84101-2070
Phone
(321) 458-5663
NPI assigned
Aug 16, 2011
Last updated
Oct 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH13474 FL
Mental Health Counselor 101YM0800X CC04990 MN
Mental Health Counselor 101YM0800X 11736106-6004 UT Primary

Addresses

Primary practice location

50 W Broadway, Ste 333 PMB 357717
Salt Lake City, UT 84101-2070

Mailing address

50 W Broadway, Ste 333, PMB 357717
Salt Lake City, UT 84101-2070
Phone (321) 458-5663

Other names 1

  • Jessica E Then Former name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
MH13474FLMDMental Health Counselor
CC04990MNMDMental Health Counselor
11736106-6004UTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Katz Counseling LLC Mental Health Current Accepting new patients
From My Side of the Couch LLC Mental Health Current Accepting new patients

Locations

50 W Broadway
Ste 333
Salt Lake Cty, UT 84101
Phone (321) 458-5663

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1313452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1790064145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 W BROADWAY, STE 333, PMB 357717",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841012070",
            "telephone_number": "321-458-5663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 W BROADWAY, STE 333 PMB 357717",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841012070",
            "telephone_number": "321-458-5663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATZ",
        "first_name": "JESSICA",
        "middle_name": "E",
        "credential": "MS, LMHC, LCMHC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-16",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH13474",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "CC04990",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "11736106-6004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "THEN",
            "middle_name": "E",
            "credential": "MS, LMHC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Oct 13, 2025; 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.