Healthcare Provider Details

I. General information

NPI: 1326842287
Provider Name (Legal Business Name): MRS. JORDYN HOOPES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/01/2025
Last Update Date: 04/01/2025
Certification Date: 04/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1177 S 800 E
OREM UT
84097-7230
US

IV. Provider business mailing address

3772 W 1850 N UNIT 201
LEHI UT
84043-6314
US

V. Phone/Fax

Practice location:
  • Phone: 208-972-2090
  • Fax:
Mailing address:
  • Phone: 208-972-2090
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: