JUDICIAL SUPERVISION SERVICES, LLC
NPI 1487294252
Nurse Practitioner - Psychiatric/Mental Health in Murray, UT

Active since January 09, 2020
5047 S GALLERIA DR, MURRAY, UT 84123(801) 486-8143(801) 746-6090 Get Directions Write a Review

NPPES record last updated: January 9, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Judicial Supervision Services, Llc NPPES

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

JUDICIAL SUPERVISION SERVICES, LLC (NPI 1487294252) is a healthcare organization registered as a psychiatric/mental health in Murray, Utah and active in the NPI registry since January 2020. The organization maintains 2 additional practice locations and lists Karena Z Jackson, Program Director, as its authorized official.

NPPES Registry Identity

NPI1487294252
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameJUDICIAL SUPERVISION SERVICES, LLC
Location Address5047 S GALLERIA DRMurray, UT 84123-4695
Mailing Address5047 S Galleria DrMurray, UT 84123-4695 · (801) 486-8143 · Fax (801) 746-6090
Fax(801) 746-6090
Organization SubpartNo
Authorized OfficialKarena Z JacksonProgram Director · (801) 486-8143
Enumeration DateJanuary 9, 2020
NPI 1487294252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedCase ManagementTaxonomy 251B00000X
5047 S GALLERIA DR, Murray, UT 84123

Secondary Practice Locations 2

Location 1370 S 500 E Ste 130Clearfield, UT 84015-4001 · Phone (801) 525-3009 ext. 1 · Fax (801) 746-6090
Location 21411 N State St Ste 4Orem, UT 84057-2584 · Phone (801) 746-6091 ext. 1 · Fax (801) 746-6090

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Case Manager/Care Coordinator
5047 S GALLERIA DR
SALT LAKE CITY, UT 84123

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 Judicial Supervision Services, LLC's NPI number?

The NPI number for Judicial Supervision Services, LLC is 1487294252. It was assigned to this organization in the NPPES registry on January 9, 2020.

Where is Judicial Supervision Services, LLC located?

Judicial Supervision Services, LLC is located at 5047 S Galleria Dr, Murray, UT 84123. The listed phone number is (801) 486-8143.

What is Judicial Supervision Services, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Judicial Supervision Services, LLC was last updated on January 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.