JENNIFER ALLEN ERICKSEN CSW
NPI 1639900970
Counselor - Mental Health in Bountiful, UT

Active since August 09, 2024
563 W 500 S STE 440, BOUNTIFUL, UT 84010(385) 503-5646 Get Directions Write a Review

NPPES record last updated: August 9, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jennifer Allen Ericksen Csw NPPES

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

JENNIFER ALLEN ERICKSEN CSW (NPI 1639900970) is an individual mental health provider in Bountiful, Utah, licensed in Utah (13964016-3502) and active in the NPI registry since August 2024. She maintains a secondary practice location in Layton.

NPPES Registry Identity

NPI1639900970
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJENNIFER ALLEN ERICKSENCredential: CSW
Location Address563 W 500 S STE 440Bountiful, UT 84010-8296
Mailing Address1434 N 2475 WLayton, UT 84041-7763 · (801) 513-8875
Sole ProprietorYes
Enumeration DateAugust 9, 2024
NPPES CertifiedAugust 9, 2024
NPI 1639900970 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 · 13964016-3502
563 W 500 S STE 440, Bountiful, UT 84010

Secondary Practice Location 1

Location 11434 N 2475 WLayton, UT 84041-7763 · Phone (801) 513-8875

Other Providers at the Same Location NPPES 4

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

Social Worker (Clinical)
563 W 500 S STE 440
BOUNTIFUL, UT 84010
Social Worker (Clinical)
563 W 500 S STE 440
BOUNTIFUL, UT 84010
Social Worker
563 W 500 S STE 440
BOUNTIFUL, UT 84010
Nutritionist
563 W 500 S STE 440
BOUNTIFUL, UT 84010

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 Jennifer Ericksen's NPI number?

The NPI number for Jennifer Ericksen is 1639900970. It was assigned to this individual provider in the NPPES registry on August 9, 2024.

Where is Jennifer Ericksen located?

Jennifer Ericksen practices at 563 W 500 S Ste 440, Bountiful, UT 84010. The listed phone number is (385) 503-5646.

What is Jennifer Ericksen'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 Jennifer Ericksen was last updated on August 9, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.