Jonathan Davis
Counselor, Mental Health in Salt Lake City, UT. Individual provider (NPI-1).
NPI number1962024828
StatusActive
Last updated in NPPESMay 14, 2020
Details
- NPI
- 1962024828
- Entity type
- Individual (NPI-1)
- Name
- Jonathan Davis
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 14, 2020
- Certification date
- May 14, 2020
- Last updated
- May 14, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
2200 S State St Fl 2Salt Lake City, UT 84115-2724
Phone 801-359-8862
Mailing address
15067 S Winged Bluff LnDraper, UT 84020-5719
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 639 Mental Health Counselor providers in Salt Lake City · All 24,510 providers in Salt Lake City
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