Individual provider Active NPI

Jessica Palmer-Thurston

  • Clinical Social Worker
  • Riverton, UT
National Provider Identifier
1902228968
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9474347-3501 Issued in UT
Practice address
12427 S Pasture Rd
Riverton, UT 84096-5607
Phone
(888) 949-4864
NPI assigned
Jan 10, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 5681408 ID
Clinical Social Worker 1041C0700X 9474347-3501 UT Primary

Addresses

Primary practice location

12427 S Pasture Rd
Riverton, UT 84096-5607

Mailing address

3725 W 4100 S Ste 201
West Valley City, UT 84120-5427
Phone (888) 949-4864

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, ID2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240405000831 UT Practitioner - Clinical Social Worker 2860830163 Reassigns benefits to 1 organization
I20260508002309 ID Practitioner - Clinical Social Worker 2860830163 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4460 S Highland Dr
Suite 100
Salt Lake City, UT 84124-3550
Phone (801) 273-6335

4750 N Five Mile Rd
Boise, ID 83713-2715
Phone (208) 996-0931

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5681408IDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Mental Health Incorporated Clinical Current Accepting new patients
Valley Behavioral Health Incorporated Clinical CurrentSince Feb 21, 2024 Accepting new patients

Locations

4750 N Five Mile Rd
Boise, ID 83713
Phone (208) 375-0500

12427 S Pasture Rd
Ste 104
Riverton, UT 84096
Phone (801) 273-6335

4460 S Highland Dr
Ste 100
Salt Lake City, UT 84124
Phone (801) 273-1085

4460 S Highland Dr
Slc, UT 84124
Phone (801) 263-7101

4460 S Highland Dr
Ste 230
Slc, UT 84124
Phone (801) 263-7227

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1389312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1902228968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3725 W 4100 S STE 201",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841205427",
            "telephone_number": "888-949-4864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12427 S PASTURE RD",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840965607",
            "telephone_number": "888-949-4864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER-THURSTON",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-10",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "5681408",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "9474347-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverton, UT

Sources for this page

Verify at the official NPI Registry.