Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1255352969 Individual Practitioner Female Practitioner

Angela Maria Jackson , LPC

Counselor - Professional • Ogden, UT

Professional Overview & Biography Verified Profile Summary

Angela Jackson, LPC is a registered healthcare professional specializing in Counselor - Professional in Ogden, UT. Practice services are available at 3903 HARRISON BLVD STE 300 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3903 Harrison Blvd Ste 300

Ogden, UT 844032362

Telephone 8013875600
Associated Practice Facility / Clinic
🏢 Ihc Health Services Inc Facility NPI 1659622033

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Ogden, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.5 Yrs
State Avg: 18.5 Yrs
Regional Practice Density
32 Specialists

Practicing in Ogden, UT (520 Statewide)

Telehealth Adoption Rate
6.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License UT 359140-6004

Definition to come...

Practice Associates & Co-Workers

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

30 Associated Practitioners
NPI 1023253911

Doctor of Psychology (Psy.D.)

Dr. Daniel Robrecht , MD

Psychiatry & Neurology - Psychiatry

NPI 1033258223

Doctor of Medicine (M.D.)

Gina Brewer

Social Worker - Clinical

NPI 1043643380
Dr. Tayler Wayment , PsyD

Psychologist - Clinical

NPI 1083273817

Doctor of Psychology (Psy.D.)

Dr. Ben Holt , MD

Psychiatry & Neurology - Psychiatry

NPI 1154512937

Doctor of Medicine (M.D.)

Alyssa Klingbeil , AGNP-C, PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1164888707

Adult-Gerontology Nurse Practitioner (Certified), Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location May 21, 2019

Registered at 3903 HARRISON BLVD STE 300, OGDEN, UT 844032362 (Tel: 8013875600)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 21, 2019

Counselor (License #359140-6004 in UT)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 5030 HARRISON BLVD, OGDEN, UT 844034311 (Tel: 8014421654)

📍
Updated Business Mailing Address July 08, 2007

Registered at PO BOX 27128, SALT LAKE CITY, UT 841270128 (Tel: 8013875620)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as ANGELA JACKSON, LPC

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

Counselor (License #3591406004 in UT)

🟢
Initial NPI Registration & Enumeration July 21, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1255352969
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 21, 2006
Last Update: May 21, 2019
Sole Proprietor: Yes

Mailing Address

Po Box 27128

Salt Lake City, UT 841270128

Phone: 8013875600

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.