Active NPI
Jessica J Cleeves
- Mental Health Counselor
- Salt Lake City, UT
National Provider Identifier
1861062341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 11388808-3502
- Practice address
- 466 S 500 E # 200
Salt Lake City, UT 84102-2705 - Phone
- (801) 449-0454
- NPI assigned
- Jun 28, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 11388808-3502 | UT | Primary |
Addresses
Primary practice location
466 S 500 E # 200
Salt Lake City, UT 84102-2705
Mailing address
1953 S 1100 E Unit 521124
Salt Lake City, UT 84152-5064
Phone (801) 449-0454
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NA | Other | NA |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://drive.google.com/drive/folders/16_eJWC3qCDykR5zQn9njjh_R2bXCUdBF?usp=sharing | Direct | |
| Other URL | https://drive.google.com/drive/folders/16_eJWC3qCDykR5zQn9njjh_R2bXCUdBF?usp=sharing | Direct |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11388808-3502 | UT | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624838400000",
"number": "1861062341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1953 S 1100 E UNIT 521124",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841525064",
"telephone_number": "801-449-0454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "466 S 500 E # 200",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841022705",
"telephone_number": "801-449-0454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEEVES",
"first_name": "JESSICA",
"middle_name": "J",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-28",
"last_updated": "2021-06-28",
"certification_date": "2021-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "UT",
"license": "11388808-3502",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NA",
"identifier": "NA",
"state": null
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://drive.google.com/drive/folders/16_eJWC3qCDykR5zQn9njjh_R2bXCUdBF?usp=sharing",
"affiliation": "N",
"endpointDescription": "HIPAA-compliant Drive folder",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "PDF, Word, and other images",
"address_1": "466 S 500 E # 200",
"city": "Salt Lake City",
"state": "UT",
"country_code": "US",
"postal_code": "841022705",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://drive.google.com/drive/folders/16_eJWC3qCDykR5zQn9njjh_R2bXCUdBF?usp=sharing",
"affiliation": "N",
"endpointDescription": "HIPAA compliant Drive folder",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Word, PDF, and image files",
"address_1": "466 S 500 E # 200",
"city": "Salt Lake City",
"state": "UT",
"country_code": "US",
"postal_code": "841022705",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jun 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.