Jacob Reese
Individual provider Active NPI Mental Health Counselor · Sandy, UT
NPI 1508752882 · NPPES record last updated Jun 14, 2025
Key facts
- NPI
- 1508752882
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 10176 S Bannor Hill Rd
Sandy, UT 84092-3950 - Phone
- (801) 694-9488
- NPI assigned
- Jun 14, 2025
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | UT | Yes |
Addresses
Primary practice location
10176 S Bannor Hill Rd
Sandy, UT 84092-3950
Mailing address
10176 S Bannor Hill Rd
Sandy, UT 84092-3950
Phone (801) 694-9488
Other providers in Sandy, UT
- Redrockrehab PLLC
- Emily Reed
- Cassandra Rees
- Jamie Myrup Rees
- Cory Reese
- Reflect and Rise Mental Health
- Registered Physical Therapists LLC
- Zoe Elizabeth Reid
- Mollie Reidy
- Wendy M Reimann
All providers in Sandy, UT · Mental Health Counselor in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 14, 2025. 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.