JESSICA WYLY (NPI# 1063912335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063912335 |
| Entity Type | Individual |
| Full Name | JESSICA WYLY |
| Practice Address |
1159 N 1165 W Orem UT 84057-6400 |
| Practice Telephone | 8013892381 |
| Mailing Telephone | 8013892381 |
| Enumeration Date | 2018-02-13 |
| Last Update Date | 2018-02-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
10108693-6018 | UT | Behavioral Health & Social Service Providers |
| Street Address |
1159 N 1165 W |
| City | OREM |
| State | UT |
| Zip Code | 84057-6400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013529932 | Jessica Chang | Social Worker | 870 W, Center, UT 84057 | 2020-08-21 |
| 1750991402 | Dr. Alexander B. Larsen Dds | Dentist | 385 W. Center Street, Orem, UT 84057 | 2020-08-07 |
| 1750911996 | Joanna Ramirez | Behavioral Analyst | 1443 West 800 North #103, Orem, UT 84057 | 2020-01-15 |
| 1790321842 | Nicole Rose Mcdougal | Speech-Language Pathologist | 527 400 N, Ste 2, Orem, UT 84057 | 2019-11-25 |
| 1871151837 | Robert B Fujiki | Speech-Language Pathologist | 1935 N90 W, Orem, UT 84057 | 2019-06-04 |
| 1669965562 | Brian Quigley Inc. | Hearing Instrument Specialist | 895 West Center Street, Orem, UT 84057 | 2018-06-14 |
| 1568960250 | Catherine Collins | Nurse Practitioner | 700 W. 800 N., Suite 220, Orem, UT 84057 | 2018-01-27 |
| 1821596073 | Venice Lucia Wilkes | Physician Assistant | 700 W 800 N # 220, Orem, UT 84057 | 2018-01-23 |
| 1851811160 | Jessie Carlson | Behavior Technician | 475 West 260 North, Orem, UT 84057 | 2017-06-27 |
| 1588013890 | Li Ping Su | Marriage & Family Therapist | 1027 W 1033 N, S108, Orem, UT 84057 | 2016-06-07 |
| Find all providers in zip 84057 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538638705 | One By One Behavioral Health | Counselor | 1454 E 820 N, Orem, UT 84097-5481 | 2018-11-17 |
| 1043722283 | Sabra Mary Dixon | Counselor | 591 W 800 N, Orem, UT 84057-3762 | 2017-10-27 |
| 1750893970 | Andrew Redd | Counselor | 267 W Center St, Orem, UT 84057-4611 | 2017-10-27 |
| 1902272198 | Robert Trevenen | Counselor | 494 W 1400 N, Orem, UT 84057-7001 | 2015-08-11 |
| 1245659606 | Zion Recovery Center Outpatient, LLC | Counselor | 360 W 920 N, Orem, UT 84057-3042 | 2014-04-14 |
| 1164708525 | Elizabeth Ann Spresser | Counselor | 1145 North 200 East, Orem, UT 84057 | 2011-10-31 |
| 1659677219 | Francisco Xavier Ampuero | Counselor | 1015 So. State Street, Bsmt. Office, Orem, UT 84097 | 2011-01-31 |
| 1093836553 | Mary Lou Smith | Counselor | 900 S State St, Orem, UT 84097-7028 | 2007-04-03 |
| 1700350386 | Megan Jones | Counselor | 494 W 1400 N, Orem, UT 84057-7001 | 2019-01-16 |
| 1780153957 | Justin Makin | Counselor | 1454 E 820 N, Orem, UT 84097-5481 | 2018-11-17 |
| Find all providers in OREM | ||||
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| 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.