Individual provider Active NPI

Juliann Marie Cook Jeppsen, LCSW

  • Clinical Social Worker
  • South Jordan, UT
National Provider Identifier
1831475821
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8002250-3501 Issued in UT
Practice address
1226 W South Jordan Pkwy
Building a
South Jordan, UT 84095-5518
Phone
(619) 616-6138
NPI assigned
Oct 23, 2011
Last updated
Jun 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 8002250-3501 UT Primary
Clinical Social Worker 1041C0700X 35350 ID
Clinical Social Worker 1041C0700X 35484 TX

Addresses

Primary practice location

1226 W South Jordan Pkwy
Building a
South Jordan, UT 84095-5518

Mailing address

863 Forest Park CT
Salt Lake City, UT 84106-2205
Phone (619) 616-6138

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121126000066 UT Practitioner - Clinical Social Worker 0547411514 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35350IDMDClinical Social Worker
8002250-3501UTMDClinical Social Worker
35484TXMDOral & Maxillofacial Surgery (D.M.D.)

Practice roles

OrganizationSpecialtyStatusNew patients
Lotus Center Inc CurrentSince Aug 1, 2025 Accepting new patients
Lotus Center Inc CurrentSince Aug 1, 2025 Accepting new patients
Matthew G Larson PC Clinical PastSince Sep 10, 2002 Accepting new patients
Phoenix Rebellion Therapy, LLC Clinical Past Accepting new patients
Matt Larson Psychotherapy and Associates Clinical Past Accepting new patients

Locations

4376 S 700 E
Ste 200
Salt Lake City, UT 84107
Phone (385) 272-4292

Organizations & group practices 5

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": "1319328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780617600000",
    "number": "1831475821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "863 FOREST PARK CT",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841062205",
            "telephone_number": "619-616-6138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1226 W SOUTH JORDAN PKWY",
            "address_2": "BUILDING A",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840955518",
            "telephone_number": "619-616-6138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK JEPPSEN",
        "first_name": "JULIANN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-23",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "8002250-3501",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "35350",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "35484",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Jordan, UT

Sources for this page

Verify at the official NPI Registry.