Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1225193998 Individual Practitioner Female Practitioner

Jan Marie Malmberg , LPC

Counselor - Professional • Midvale, UT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Jan Malmberg, LPC is a certified Counselor - Professional practicing in Midvale, UT. With approximately 31 years of clinical experience since completing medical education in 1995, Jan Malmberg delivers high-quality medical care to the local community at 7321 SOUTH STATE STREET.

Jan Malmberg is affiliated with Jennifer Fairbourn Lmft Llc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

7321 South State Street
Suite A

Midvale, UT 840476105

Telephone 8018784327
Fax 8018789280
Associated Practice Facility / Clinic
🏢 Jennifer Fairbourn Lmft, Llc Facility NPI 1356826036

Medicare Profile & Education

Medical School

Other

Graduation Year

1995

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Midvale, UT

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
31 Yrs -0.5 yrs vs City Avg
City Avg: 31.5 Yrs
State Avg: 18.5 Yrs
Regional Practice Density
5 Specialists

Practicing in Midvale, UT (520 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Malmberg (31 Years) 31 Yrs
Midvale Specialty Average (31.5 Years) 31.5 Yrs

Medical Specialties & State Licenses

CMS Verified: 2026-07-30
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License UT 4905206-6004

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Caqh
11627987 (UT)

Hospital & Practice Group Affiliations

Jennifer Fairbourn Lmft Llc

7321 S State St, Midvale, UT 840476105

Phone: 8018784327

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Kent Larson , LCSW

Counselor - Professional

NPI 1073656906

Licensed Clinical Social Worker

Patricia Totterer , LCSW

Social Worker - Clinical

NPI 1427017581

Licensed Clinical Social Worker

Jennifer Anderson

Social Worker - Clinical

NPI 1538773387
Sloane Smith , LCSW

Social Worker - Clinical

NPI 1598734139

Licensed Clinical Social Worker

Susan Fink , CMHC

Counselor - Mental Health

NPI 1891143640
Jennifer Fairbourn , MS, LMFT

Marriage & Family Therapist

NPI 1992977383

Master of Science, Licensed Marriage and Family Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location July 30, 2026

Registered at 7321 SOUTH STATE STREET, SUITE A, MIDVALE, UT 840476105 (Tel: 8018784327)

📍
Updated Business Mailing Address July 30, 2026

Registered at 7321 SOUTH STATE STREET, SUITE A, MIDVALE, UT 840476105 (Tel: 8018784327)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 4214 S 500 W, SALT LAKE CITY, UT 841231336 (Tel: 8018593523)

📍
Updated Business Mailing Address July 08, 2007

Registered at 2223 AROSA CIR, SANDY, UT 840931039 (Tel: 8019435061)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JAN MALMBERG, LPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Counselor (License #4905206-6004 in UT)

🟢
Initial NPI Registration & Enumeration December 23, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Jan Malmberg. Be the first to share your experience!

Sign in to leave a review for Jan Malmberg

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1225193998
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 23, 2006
Last Update: July 30, 2026
Sole Proprietor: No

Mailing Address

7321 South State Street, Suite A

Midvale, UT 840476105

Phone: 8018784327

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.