Mountainside Counseling Services

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MOUNTAINSIDE COUNSELING SERVICES

Practice address

1133 N Main St Ste 130
Layton, UT 84041-4830

Phone

(801) 833-7536

NPI assigned

Mar 7, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kirsten Jacobson, LCSWNPI 1730456104

Title

Owner

Phone

(801) 833-7536

Specialties & licenses 1

Addresses

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kirsten Anne Jacobson, LCSW

  • Clinical Social Worker
  • Layton, UT
  • NPI 1730456104
  NPD Authorized official
• Ayaka Lingard, CSW

  • Social Worker
  • Layton, UT
  • NPI 1023792843
  NPD
• Erin Parker

  • Counselor
  • Layton, UT
  • NPI 1639852023
  NPD (past)
• Kira Tadehara

  • Clinical Social Worker
  • Layton, UT
  • NPI 1518417153
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1551916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676505600000",
    "number": "1013475169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 N MAIN ST STE 130",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840414830",
            "telephone_number": "801-833-7536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 N MAIN ST STE 130",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840414830",
            "telephone_number": "801-833-7536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAINSIDE COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-07",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A",
        "authorized_official_last_name": "JACOBSON",
        "authorized_official_first_name": "KIRSTEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-833-7536",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mountain Valley
• Mountain View Eye Center Professional Corporation
• Mountain View Medical
• Mountain View Pediatric Dentistry of Layton
• Mountain West Anesthesia LLC
• Mountainside Neurotherapy
• Robelena Mowatt
• Cecilia Moya-Rueda
• Jeanine Rae Moyer
• Karoline Chamberlain Moyes

• Clinical Social Worker in Layton, UT
• Providers in Layton, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.