Individual provider · Type 1 NPI

Jessica Mignon Pettit

Peer Specialist · Salt Lake City, UT

NPI number 1548066087 Active

Practice location

117 W 400 S
Salt Lake City, UT 84101-1916

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XF26-1155666 (UT)
Peer Specialist Primary 175T00000XF24-115566 (UT)

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1548066087

Jessica Mignon Pettit's National Provider Identifier is 1548066087, issued on Feb 24, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Salt Lake City, UT. The record was last updated on Jul 28, 2026.