Jordyn Jacobson
Individual provider Active NPI Counselor · Harrisville, UT
NPI 1235745191 · NPPES record last updated Sep 16, 2020
Key facts
- NPI
- 1235745191
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 2240 N Hwy 89 Ste C
Harrisville, UT 84404-2824 - Phone
- (801) 393-6232
- NPI assigned
- Sep 16, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Choice Counseling & Consulting | Current | Accepting new patients | |
| Quality Youth Services | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
2240 N Hwy 89 Ste C
Harrisville, UT 84404-2824
Mailing address
2240 N Hwy 89 Ste C
Harrisville, UT 84404-2824
Other providers in Harrisville, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 16, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.