NPIMap

Organization Active NPI

River Hollow Mental Health PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Logan, UT
National Provider Identifier
1164137170
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
RIVER HOLLOW MENTAL HEALTH PLLC
Practice address
40 W Cache Valley Blvd Ste 7a
Logan, UT 84341-8475
Phone
(435) 538-2152
Fax
(435) 625-6237
NPI assigned
Jan 16, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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

Authorized official

Name
Jacob Christian Hunsaker, DNP, PMHNP, LMFTNPI 1215457684
Title
Ceo
Phone
(435) 538-2152

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

40 W Cache Valley Blvd Ste 7a
Logan, UT 84341-8475

Mailing address

40 W Cache Valley Blvd Ste 7a
Logan, UT 84341-8475
Phone (435) 538-2152

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Admin@riverhollow.org Direct

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
46D2333227River Hollow Mental Health40 W Cache Valley Blvd, Ste 7a, Logan, UT 84341Certificate of waiverOct 30, 2027

National Provider Directory

National Provider Directory

Locations

40 W Cache Valley Blvd
Ste 7A
Logan, UT 84341
Phone (435) 538-2152

Practitioners & affiliated clinicians

Practitioners 10

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

NPI Registry JSON

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

{
    "created_epoch": "1673827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760313600000",
    "number": "1164137170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 W CACHE VALLEY BLVD STE 7A",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843418475",
            "telephone_number": "435-538-2152",
            "fax_number": "435-625-6237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 W CACHE VALLEY BLVD STE 7A",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843418475",
            "telephone_number": "435-538-2152",
            "fax_number": "435-625-6237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER HOLLOW MENTAL HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-16",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A",
        "authorized_official_last_name": "HUNSAKER",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "CHRISTIAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "435-538-2152",
        "authorized_official_credential": "DNP, PMHNP, LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Admin@riverhollow.org",
            "affiliation": "N",
            "endpointDescription": "Secure Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "975 Thrushwood Dr",
            "city": "Logan",
            "state": "UT",
            "country_code": "US",
            "postal_code": "843214825",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Logan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.