JEREMY BAILEY


Address: 11762 S State St Ste 360, Draper, UT 84020-7166
Phone: 8015716782

JEREMY BAILEY (NPI# 1144767013) 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) 1144767013
Entity Type Individual
Full Name JEREMY BAILEY
Credential LMFT
Practice Address 11762 S State St Ste 360
Draper
UT 84020-7166
Mailing Address 4559 S Lynn Ridge Ln
West Valley City
UT 84128-5641
Practice Telephone 8015716782
Mailing Telephone 8018568387
Enumeration Date 2017-01-30
Last Update Date 2020-02-24
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106H00000X Marriage & Family Therapist 10666702-3902 UT Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
5667 S Redwood Rd Unit 6b, Taylorsville, UT 841235495 8019791351

Other Providers JEREMY BAILEY

NPI Name Taxonomy Address Enumeration
1184082109 Jeremy David Bailey Social Worker 534 B St, Santa Rosa, CA 95401-5211 2016-02-04

Office Location

Street Address 11762 S STATE ST STE 360
City DRAPER
State UT
Zip Code 84020-7166

Providers in the same location

NPI Name Taxonomy Address Enumeration
1891076634 Anna Marie Horton Social Worker 11762 S State St Ste 360, Draper, UT 84020-7166 2011-09-07
1821604414 Jordan Meyer Counselor 11762 S State St Ste 360, Draper, UT 84020-7166 2020-09-18
1568960961 Brook Mingo Counselor 11762 S State St Ste 360, Draper, UT 84020-7166 2018-01-31

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194322776 Chase Larsen Dmd Pllc Dentist 723 E 12200 S, Draper, UT 84020 2020-10-06
1780222380 Derek Cragun Counselor 11706 700 E, Draper, UT 84020 2019-12-13
1720629371 Own My Health Medical Clinic/Center 12371 900 E, Suite 102, Draper, UT 84020 2019-10-04
1508418856 Thomas Mifflin Physician Assistant 721 East 12200 South, Draper, UT 84020 2019-07-16
1124670872 Necia Dalley Registered Nurse 11800 S State St, Draper, UT 84020 2019-07-12
1285100784 Tracey M Williams Psychologist 13200 S 1601 E, Draper, UT 84020 2018-10-23
1275008328 Amoni Paeahelotu Finau Community Health Worker 13703 Wheatfield Way, Draper, UT 84020 2018-10-04
1891275525 Cynthia Mae Bolton Psychologist 1192 E Draper Parkway # 447, Draper, UT 84020 2018-08-21
1164908026 Headin' Home Inc. Community/Behavioral Health 12300 S. 150 W., Draper, UT 84020 2018-07-13
1366932576 Forest Hulet Dentist 219 E 12300, Ste I-5, Draper, UT 84020 2018-05-14
Find all providers in zip 84020

Taxonomy Information

Taxonomy Code 106H00000X
Grouping Behavioral Health & Social Service Providers
Classification Marriage & Family Therapist

Taxonomy Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205433497 Malory Christensen Marriage & Family Therapist 12401 S 450 E Unit D2, Draper, UT 84020-7938 2020-10-01
1205004066 Bernell Lee Christensen Marriage & Family Therapist 584 E 12300 S Ste 1, Draper, UT 84020-9653 2008-02-14
1952348005 Tracy Christopulos Harward Marriage & Family Therapist 782 Pioneer Rd, Draper, UT 84020 2006-05-31
1710586250 Jared Gregory Rich Marriage & Family Therapist 13552 S 110 W Ste 204, Draper, UT 84020-2403 2020-10-24
1538768528 Shellie Vanorman Marriage & Family Therapist 13552 S 110 W Ste 204, Draper, UT 84020-2403 2020-10-20
1083255780 Tiffany Henline Marriage & Family Therapist 13552 S 110 W Ste 204, Draper, UT 84020-2403 2019-10-03
1760982177 Jessica Croft Gilliland Marriage & Family Therapist 13552 S 110 W Ste 204, Draper, UT 84020-2403 2018-02-13
1598105728 Amy Crawford Marriage & Family Therapist 1481 E Pioneer Rd, Draper, UT 84020 2013-07-02
1467708917 Branden Hayes Henline Marriage & Family Therapist 13552 S 110 W Ste 204, Draper, UT 84020-2403 2012-08-01

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1285241109 Sunset Counseling Services, LLC Marriage & Family Therapist 2326 N 400 E Ste 205, Tooele, UT 84074-3457 2020-09-24
1699387134 Amanda Butler Marriage & Family Therapist 9035 S 1300 E Ste 120, Sandy, UT 84094-3192 2020-08-17
1598374134 Troy Faddis, Lmft - Pllc Marriage & Family Therapist 72 W Patriot Way Unit 1139, Richfield, UT 84701-1888 2020-07-29
1275158974 Magnum Morgan Marriage & Family Therapist 1760 N Main St Ste 105, Cedar City, UT 84721-7807 2020-06-09
1265052880 Sarah Dawn Finney Marriage & Family Therapist 3390 S Oakwood St, Salt Lake City, UT 84109-3073 2020-04-23
1184243222 John Patterson Marriage & Family Therapist 199 290 West Ste. 150, Lindon, UT 84042 2020-04-09
1477188209 Sarah Rawlings Marriage & Family Therapist 24 W Sergeant Court Dr Ste 202, Saratoga Springs, UT 84045-5809 2020-03-12
1255965141 Brian Rhodes Marriage & Family Therapist 1460 S Providence Center Dr Ste 2, Cedar City, UT 84720-1981 2020-02-28
1922639186 Brent Esplin Marriage & Family Therapist 626 N 1170 E, Orem, UT 84097-4430 2020-01-27
1255961967 Duane Domino Marriage & Family Therapist 1549 N Rosa Ln, Saratoga Springs, UT 84045-5197 2020-01-22
Find all providers with the same taxonomy

Competitor

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City DRAPER
Zip Code 84020

Improve Information

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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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