JESSICA JO PLLC


Address: 3527 S 1200 E, Salt Lake City, UT 84106-2425
Phone: 8013694493

JESSICA JO PLLC (NPI# 1033733001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033733001
Entity Type Organization
Organization Name JESSICA JO PLLC
Practice Address 3527 S 1200 E
Salt Lake City
UT 84106-2425
Practice Telephone 8013694493
Enumeration Date 2020-06-04
Last Update Date 2020-06-04
Authorized Official Name JESSICA JO STENQUIST (OWNER)
Authorized Official Telephone 8013694493
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health Agencies

Office Location

Street Address 3527 S 1200 E
City SALT LAKE CITY
State UT
Zip Code 84106-2425

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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

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1942859707 Madre Tierra Counseling & Consulting LLC Community/Behavioral Health 3763 S Secord St, Salt Lake City, UT 84115-4771 2019-09-05
1295389708 Peaceful Solutions Counseling LLC Community/Behavioral Health 1399 S 700 E Ste 5, Salt Lake City, UT 84105-2161 2019-08-01
1689139198 Mmtc Community/Behavioral Health 1411 W 1100 N, Salt Lake City, UT 84116-1634 2019-02-08
1891274429 Crystal Tina Marie Amezquita Community/Behavioral Health 1141 E 3900 S Ste A150, Salt Lake City, UT 84124-1215 2018-08-14
1558840611 Noble Soul Therapy Community/Behavioral Health 699 E South Temple # 300a, Salt Lake City, UT 84102-1142 2018-08-09
1932631116 Mattison Therapeutic Consulting and Counseling Community/Behavioral Health 667 E Redondo Ave, Salt Lake City, UT 84105-3028 2017-03-28
1396281218 Pat Brehl Lcsw LLC Community/Behavioral Health 439 E 900 S, Salt Lake City, UT 84111-4303 2017-01-17
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Competitor

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City SALT LAKE CITY
Zip Code 84106

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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