Jessica Shade
NPI 1134587264ActiveIndividual· Counselor· Salt Lake City, UT
Counselor in Salt Lake City, Utah, trained at University of Utah School of Medicine (class of 2020). Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1134587264 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Feb 3, 2016 |
| Last updated in NPPES | Feb 3, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor Primary | 101Y00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (UT) |
|---|
Education and affiliations
| Medical school | University of Utah School of Medicine |
|---|---|
| Graduation year | 2020 |
| Medicare specialty | Mental Health Counselor |
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