Jacob Christian Hunsaker, DNP, PMHNP, LMFT

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

9424876-4405 Issued in UT

Practice address

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

Phone

(435) 538-2152

Fax

(453) 625-6237

NPI assigned

Jun 26, 2017

Last updated

Oct 13, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Nov 25, 2024 through Nov 25, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• River Hollow Mental Health PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Logan, UT
  • NPI 1164137170

  Marriage & Family Therapist

  NPD Authorized official

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

{
    "created_epoch": "1498435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1215457684",
    "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": "453-625-6237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNSAKER",
        "first_name": "JACOB",
        "middle_name": "CHRISTIAN",
        "credential": "DNP, PMHNP, LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-26",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "UT",
            "license": "9424876-4405",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "UT",
            "license": "9424876-3902",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF UTAH DEPARTMENT OF COMMERCE, DOPL",
            "identifier": "9424876-3902",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kasha Hulse, DPT
• Benjamin Hume
• Asa Trent Humpherys, RDN
• Kendall Humphrey
• Cherilee Charisse Hunsaker
• Jennifer Johnson Hunsaker
• Lindsey Hunsaker, MA, CCC-SLP
• Maria Hunsaker
• Teryl Ray Hunsaker, PA
• Wayne L. Hunsaker, D.C.

• Psychiatric/Mental Health Nurse Practitioner in Logan, UT
• Providers in Logan, UT by specialty
• Psychiatric/Mental Health Nurse Practitioner in Utah

• 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 enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.