JESSICA WACKER
NPI 1083737480
Counselor - Mental Health in Salt Lake City, UT

Q: What is Jessica Wacker's NPI number?

The NPI number for Jessica Wacker is 1083737480. It was assigned to this individual provider in the NPPES registry on April 9, 2007.

Q: What is Jessica Wacker's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Wacker was last updated on January 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 09, 2007

1782 HOLLADAY BLVD, SALT LAKE CITY, UT 84124(801) 703-5321 Get Directions Write a Review

NPPES record last updated: January 12, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jessica Wacker NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA WACKER (NPI 1083737480) is an individual mental health provider in Salt Lake City, Utah, licensed in Utah (7727205-6004) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1083737480

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameJESSICA WACKER

Location Address1782 HOLLADAY BLVDSalt Lake City, UT 84124-2606

Mailing Address1782 Holladay BlvdSalt Lake City, UT 84124-2606 · (801) 703-5321

Phone(801) 703-5321

Sole ProprietorNo

Enumeration DateApril 9, 2007

Last NPPES UpdateJanuary 12, 2012

✔ NPI 1083737480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in UT · 7727205-6004

1782 HOLLADAY BLVD, Salt Lake City, UT 84124

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Wacker's NPI number?

The NPI number for Jessica Wacker is 1083737480. It was assigned to this individual provider in the NPPES registry on April 9, 2007.

Where is Jessica Wacker located?

Jessica Wacker practices at 1782 Holladay Blvd, Salt Lake City, UT 84124. The listed phone number is (801) 703-5321.

What is Jessica Wacker's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Jessica Wacker was last updated on January 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.