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JACKIE WILSON
NPI 1629528096
Counselor in Salt Lake City, UT

Active since October 10, 2016
4460 S HIGHLAND DR, #230, SALT LAKE CITY, UT 84124(888) 949-4864 Get Directions Write a Review

NPPES record last updated: October 10, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jackie Wilson NPPES

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

JACKIE WILSON (NPI 1629528096) is an individual counselor in Salt Lake City, Utah and active in the NPI registry since October 2016.

NPPES Registry Identity

NPI1629528096
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameJACKIE WILSON
Location Address4460 S HIGHLAND DR, #230Salt Lake City, UT 84124-3543
Mailing Address4460 S Highland Dr, #230Salt Lake City, UT 84124-3543 · (888) 949-4864
Phone(888) 949-4864
Sole ProprietorNo
Enumeration DateOctober 10, 2016
✔ NPI 1629528096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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 Jackie Wilson's NPI number?

The NPI number for Jackie Wilson is 1629528096. It was assigned to this individual provider in the NPPES registry on October 10, 2016.

Where is Jackie Wilson located?

Jackie Wilson practices at 4460 S Highland Dr #230, Salt Lake City, UT 84124. The listed phone number is (888) 949-4864.

What is Jackie Wilson's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Jackie Wilson was last updated on October 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.