Mountainside Neurotherapy

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

MOUNTAINSIDE NEUROTHERAPY

Practice address

1133 N Main St Ste 202
Layton, UT 84041-4873

Phone

(801) 833-7536

NPI assigned

May 30, 2025

Organization subpart

No

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

Authorized official

Name

Kirsten JacobsonNPI 1730456104

Title

Owner

Phone

(801) 833-7536

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

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

{
    "created_epoch": "1748563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748563200000",
    "number": "1083507818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 N MAIN ST STE 400",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840414800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 N MAIN ST STE 202",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840414873",
            "telephone_number": "801-833-7536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAINSIDE NEUROTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-30",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "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"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• Mental Health Counselor in Layton, UT
• Providers in Layton, UT by specialty
• Mental Health Counselor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2025; 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.