MRS. JESSICA L UTTERBACK MS
NPI 1477233534
Counselor - Mental Health in Phoenix, AZ
About Mrs. Jessica L Utterback Ms NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. JESSICA L UTTERBACK MS (NPI 1477233534) is an individual mental health provider in Phoenix, Arizona, licensed in Arizona (LAC-7989T) and active in the NPI registry since July 2023. She has opted out of Medicare through January 26, 2028.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Mrs. Jessica L Utterback Ms has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 26, 2026 through January 26, 2028.
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 Utterback's NPI number?
The NPI number for Jessica Utterback is 1477233534. It was assigned to this individual provider in the NPPES registry on July 24, 2023.
Where is Jessica Utterback located?
Jessica Utterback practices at 907 W Augusta Ave, Phoenix, AZ 85021. The listed phone number is (602) 377-8236.
What is Jessica Utterback's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Jessica Utterback enrolled in Medicare?
No. Jessica Utterback has opted out of Medicare through January 26, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Jessica Utterback was last updated on July 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Mrs. Jessica L Utterback, MS · NPI 1477233534
Mental Health provider in Phoenix, Arizona. Individual provider, active in the CMS NPPES registry since July 24, 2023.
## Identity
- **NPI:** 1477233534 (Entity type: Individual)
- **Enumerated:** July 24, 2023
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** LAC-7989T (Arizona)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 907 W AUGUSTA AVE, Phoenix, AZ 85021-7130
- **Phone:** (602) 377-8236
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through January 26, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** July 24, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1477233534) · Data from the CMS NPPES public registry.