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

Matthew Adrian Jackman

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1891071973

Matthew Adrian Jackman is a Mental Health Counselor in Salt Lake City, Utah. Qualified in 2012, 14 years ago. Practices with Senior Health Counseling Services LLC, a 4-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
14
Licensed in
UT
In the registry since
2011
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Practice location Address checks out

447 Bearcat Dr
Salt Lake City, UT 84115-2519
Phone: (801) 355-2846
Fax: (801) 359-3244
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X (UT)

Record details

NPI number1891071973
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 2, 2011
Last updated in NPPESNovember 2, 2011

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Senior Health Counseling Services Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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