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JACQUELINE A NIELSON LPC
NPI 1720304132
Counselor - Mental Health in Sandy, UT

Active since April 09, 2010PECOS Enrolled
9035 S 1300 E, SUITE B120, SANDY, UT 84094(801) 341-2001(801) 341-2002 Get Directions Write a Review

NPPES record last updated: March 12, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jacqueline A Nielson Lpc NPPES

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

JACQUELINE A NIELSON LPC (NPI 1720304132) is an individual mental health provider in Sandy, Utah, licensed in Utah (6797716-6004) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1720304132
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJACQUELINE A NIELSONCredential: LPC
Location Address9035 S 1300 E, SUITE B120Sandy, UT 84094-3132
Mailing Address9035 S 1300 E, Suite B120Sandy, UT 84094-3132 · (801) 341-2001 · Fax (801) 341-2002
Phone(801) 341-2001
Fax(801) 341-2002
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateApril 9, 2010
Last NPPES UpdateMarch 12, 2014
✔ NPI 1720304132 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 · 6797716-6004
9035 S 1300 E, Sandy, UT 84094
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacqueline A Nielson Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7719475995
PECOS Enrollment IDI20251021000433
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jacqueline Nielson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Green River Medical Center Inc
142 mi
Federally Qualified Health Center (FQHC)
585 WEST MAIN ST., BOX 417
Green River, UT 84525
  • Reassigned Medicare billing, Utah enrollment
  • 5 clinicians in this Medicare group
NPI 1942317722 (435) 564-3434

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 14

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

COURTNEY ANN WYATT LMFT
Marriage & Family Therapist
9035 S 1300 E, SUITE B120
SANDY, UT 84094
Salt Lake County (801) 341-2001
DR. KAREN CHECKETTS PH.D.
Psychologist
9035 S 1300 E, B120
SANDY, UT 84094
Salt Lake County (801) 838-7606
ALTA MOUNTAIN HEALTH & WELLNESS
Chiropractor
9035 S 1300 E, SUITE 1B
SANDY, UT 84094
Salt Lake County (801) 569-8787
DR. CHRIS JARED HARBRECHT D.C.
Chiropractor
9035 S 1300 E, STE 1
SANDY, UT 84094
Salt Lake County (801) 569-8787
HAYLEE BLADEN MSW, LCSW
Social Worker (Clinical)
9035 S 1300 E, B110
SANDY, UT 84094
Salt Lake County (801) 856-2106
BRIA N DAVIES
Marriage & Family Therapist
9035 S 1300 E
SANDY, UT 84094
Salt Lake County (801) 455-0045
ALLISON RENCHER M.S., LMFT
Marriage & Family Therapist
9035 S 1300 E, SUITE B120
SANDY, UT 84094
Salt Lake County (801) 341-2001
AMBER CREEK COUNSELING AND PSYCHIATRY INC
Marriage & Family Therapist
9035 S 1300 E, SUITE 120
SANDY, UT 84094
Salt Lake County (801) 455-0045

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 Jacqueline Nielson's NPI number?

The NPI number for Jacqueline Nielson is 1720304132. It was assigned to this individual provider in the NPPES registry on April 9, 2010.

Where is Jacqueline Nielson located?

Jacqueline Nielson practices at 9035 S 1300 E Suite B120, Sandy, UT 84094. The listed phone number is (801) 341-2001.

What is Jacqueline Nielson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Jacqueline Nielson enrolled in Medicare?

Yes. Jacqueline Nielson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jacqueline Nielson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Nielson reassigns Medicare benefits to Green River Medical Center Inc (Green River, UT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacqueline Nielson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacqueline Nielson accept?

Health plans from Select Health list Jacqueline Nielson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jacqueline Nielson was last updated on March 12, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.