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JACOB WALLACE
NPI 1497340475
Case Manager/Care Coordinator in Salt Lake City, UT

Active since March 02, 2021
4460 S HIGHLAND DR, SALT LAKE CITY, UT 84124(888) 949-4864 Get Directions Write a Review

NPPES record last updated: March 2, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jacob Wallace NPPES

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

JACOB WALLACE (NPI 1497340475) is an individual case manager/care coordinator provider in Salt Lake City, Utah and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1497340475
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameJACOB WALLACE
Location Address4460 S HIGHLAND DRSalt Lake City, UT 84124-3543
Mailing Address4460 S Highland DrSalt Lake City, UT 84124-3543 · (888) 949-4864
Phone(888) 949-4864
Sole ProprietorNo
Enumeration DateMarch 2, 2021
NPPES CertifiedMarch 2, 2021
✔ NPI 1497340475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
4460 S HIGHLAND DR, Salt Lake City, UT 84124
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Other Providers at the Same Location NPPES 20

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

TRACY VERSLUIS
Counselor
4460 S HIGHLAND DR, 230
SALT LAKE CITY, UT 84124
Salt Lake County (888) 949-4864
ALICIA VIGIL
Counselor
4460 S HIGHLAND DR, #230
SALT LAKE CITY, UT 84124
Salt Lake County (888) 949-4864
LEVI ERNEST
Counselor
4460 S HIGHLAND DR, SUITE 230
SLC, UT 84124
Salt Lake County (888) 949-4864
MRS. LACEY RENEE CONNER
Behavior Analyst
4460 S HIGHLAND DR
SALT LAKE CITY, UT 84124
Salt Lake County (888) 949-4864
CRYSTAL MARSHALL APRN
Nurse Practitioner (Psychiatric/Mental Health)
4460 S HIGHLAND DR
SALT LAKE CITY, UT 84124
Salt Lake County (888) 949-4864
MARINA TORRES
Registered Nurse
4460 S HIGHLAND DR
SALT LAKE CITY, UT 84124
Salt Lake County (888) 949-4864
TAMMY LEANN VARCO CMHC
Counselor (Mental Health)
4460 S HIGHLAND DR, #230
SALT LAKE CITY, UT 84124
Salt Lake County (888) 949-4864
KAYLUM JAMES PALETTA
Counselor (Mental Health)
4460 S HIGHLAND DR
SALT LAKE CITY, UT 84124
Salt Lake County (888) 949-4864

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 Jacob Wallace's NPI number?

The NPI number for Jacob Wallace is 1497340475. It was assigned to this individual provider in the NPPES registry on March 2, 2021.

Where is Jacob Wallace located?

Jacob Wallace practices at 4460 S Highland Dr, Salt Lake City, UT 84124. The listed phone number is (888) 949-4864.

What is Jacob Wallace's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Jacob Wallace was last updated on March 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.