Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bailey Jean Nissen

Individual provider Professional Counselor · NPI 1720860190

Bailey Jean Nissen is a Mental Health Counselor in Park City, Utah. Qualified in 2023, 3 years ago. Practices with University of Utah Behavioral Health Services, a 188-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
3
Licensed in
UT
In the registry since
2023
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Practice location Address checks out

1820 Sidewinder Dr Ste 100
Park City, UT 84060-7563
Phone: (435) 658-9998
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 10437017-6009 (UT)

Record details

NPI number1720860190
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 19, 2023
Last updated in NPPESMarch 9, 2026
Certification dateMarch 9, 2026
Mailing address1820 Sidewinder Dr Ste 100, Park City, UT 84060-7563

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice University Of Utah Behavioral Health Services — 188 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Park City