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JACOB LOUIS PETERSON
NPI 1841600137
Case Manager/Care Coordinator in Taylorsville, UT

Active since May 07, 2014
5667 S REDWOOD RD, TAYLORSVILLE, UT 84123(801) 979-1351 Get Directions Write a Review

NPPES record last updated: May 7, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jacob Louis Peterson NPPES

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

JACOB LOUIS PETERSON (NPI 1841600137) is an individual case manager/care coordinator provider in Taylorsville, Utah and active in the NPI registry since May 2014.

NPPES Registry Identity

NPI1841600137
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameJACOB LOUIS PETERSON
Location Address5667 S REDWOOD RDTaylorsville, UT 84123-5433
Mailing Address6195 Fox Pointe Cir Apt C1Park City, UT 84098-7597 · (208) 629-9680
Phone(801) 979-1351
Sole ProprietorNo
Enumeration DateMay 7, 2014
✔ NPI 1841600137 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.
5667 S REDWOOD RD, Taylorsville, UT 84123
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Other Identifiers 1

Medicaid1114904646UT

Other Providers at the Same Location NPPES 18

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

DAVID FAWCETT PHD
Marriage & Family Therapist
5667 S REDWOOD RD, SUITE #6B
TAYLORSVILLE, UT 84123
Salt Lake County (801) 979-1351
PILAR L BAKER
Social Worker (Clinical)
5667 S REDWOOD RD
SALT LAKE CITY, UT 84123
Salt Lake County (801) 979-1351
MR. JOSH PAUL BIESINGER L.M.F.T.
Marriage & Family Therapist
5667 S REDWOOD RD, UNIT 5C
TAYLORSVILLE, UT 84123
Salt Lake County (801) 755-8799
ELLAINE LABOY FELICIANO
Counselor
5667 S REDWOOD RD
TAYLORSVILLE, UT 84123
Salt Lake County (787) 617-2551
SUZANNE RICKER CSW
Social Worker (Clinical)
5667 S REDWOOD RD
TAYLORSVILLE, UT 84123
Salt Lake County (435) 770-1288
MYRNA JARVIS MCMILLAN AMFT
Counselor
5667 S REDWOOD RD
TAYLORSVILLE, UT 84123
Salt Lake County (801) 979-1351
KRISTINE ROSHENA COLD CSW
Social Worker (Clinical)
5667 S REDWOOD RD
TAYLORSVILLE, UT 84123
Salt Lake County (801) 577-3805
JAN M LERWICK
Counselor
5667 S REDWOOD RD
TAYLORSVILLE, UT 84123
Salt Lake County (801) 979-1351

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 Peterson's NPI number?

The NPI number for Jacob Peterson is 1841600137. It was assigned to this individual provider in the NPPES registry on May 7, 2014.

Where is Jacob Peterson located?

Jacob Peterson practices at 5667 S Redwood Rd, Taylorsville, UT 84123. The listed phone number is (801) 979-1351.

What is Jacob Peterson'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 Peterson was last updated on May 7, 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.