Individual provider Active NPI

Jessica Ludlow Holfeltz, CMHC, LPC-MHSP

  • Mental Health Counselor
  • Draper, UT
National Provider Identifier
1861962706
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
10324404-6004 Issued in UT
Practice address
1111 E Draper Pkwy Ste 103
Draper, UT 84020-9077
Phone
(801) 915-3882
NPI assigned
Dec 4, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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 10324404-6004 UT Primary

Addresses

Primary practice location

1111 E Draper Pkwy Ste 103
Draper, UT 84020-9077

Mailing address

1111 E Draper Pkwy Ste 103
Draper, UT 84020-9077
Phone (801) 915-3882

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
10324404-6004UTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Resilient Roots Counseling, LLC Mental Health CurrentSince Feb 23, 2025 Accepting new patients

Locations

1111 E Draper Pkwy
Ste 103
Draper, UT 84020
Phone (801) 829-1508

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1543881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1861962706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 E DRAPER PKWY STE 103",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840209077",
            "telephone_number": "801-915-3882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 E DRAPER PKWY STE 103",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840209077",
            "telephone_number": "801-915-3882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLFELTZ",
        "first_name": "JESSICA",
        "middle_name": "LUDLOW",
        "credential": "CMHC, LPC-MHSP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-04",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "10324404-6004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Draper, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.