Individual provider Active NPI

Janna Marie McGaw, LCSW

  • Mental Health Counselor
  • Park City, UT
National Provider Identifier
1801086723
Registry record updated Jul 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
286085-3501 Issued in UT
Practice address
265 Lower Evergreen Dr
Park City, UT 84098-5254
Phone
(801) 792-3802
Fax
(435) 645-9409
NPI assigned
Jul 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 286085-3501 UT Primary

Addresses

Primary practice location

265 Lower Evergreen Dr
Park City, UT 84098-5254

Mailing address

1399 S 700 E
11B
Salt Lake City, UT 84105-2149
Phone (801) 792-3802

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

State licenses

LicenseStateTypeSpecialty
286085-3501UTMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185408000000",
    "number": "1801086723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1399 S 700 E",
            "address_2": "11B",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841052149",
            "telephone_number": "801-792-3802",
            "fax_number": "435-645-9409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 LOWER EVERGREEN DR",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840985254",
            "telephone_number": "801-792-3802",
            "fax_number": "435-645-9409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGAW",
        "first_name": "JANNA",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-26",
        "last_updated": "2007-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "286085-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2007; 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.