Jan Marie Malmberg, LPC
NPI 1225193998ActiveIndividual· Counselor, Professional· Midvale, UT
Counselor, Professional (LPC) with Jennifer Fairbourn Lmft LLC, practicing in Midvale, Utah. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1225193998 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LPC |
| Sole proprietor | No |
| NPI issued | Dec 23, 2006 |
| Last updated in NPPES | Jul 30, 2026 |
| Certified by provider | Jul 30, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | 4905206-6004 | UT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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
| Graduation year | 1995 |
|---|---|
| Medicare specialty | Mental Health Counselor |
Medical group
- Jennifer Fairbourn Lmft LLCMidvale, UT · 7 clinicians
Other Counselor, Professional providers in Midvale
- 1295025575
- 1902107618
- 1174741433
- 1073656906