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

Mrs. Jan Marie Malmberg, LPC

Individual provider Professional Counselor · NPI 1225193998

Mrs. Jan Marie Malmberg, LPC is a Mental Health Counselor in Midvale, Utah. Qualified in 1995, 31 years ago. Practices with Jennifer Fairbourn LMFT LLC, a 7-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
31
Licensed in
UT
In the registry since
2006
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

7321 S State St Ste A
Midvale, UT 84047-6105
Phone: (801) 878-4327
Fax: (801) 878-9280
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 4905206-6004 (UT)

Record details

NPI number1225193998
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorNo
NPI enumeratedDecember 23, 2006
Last updated in NPPESJuly 30, 2026
Certification dateJuly 30, 2026

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Jennifer Fairbourn Lmft Llc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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