Jacob Fletcher, LCMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

118110476004 Issued in UT

Practice address

3375 W Mayflower Way
Lehi, UT 84043-3134

Phone

(801) 331-6775

NPI assigned

Jul 18, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1658102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1588399281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7447 N EVANS RANCH DR",
            "city": "EAGLE MOUNTAIN",
            "state": "UT",
            "postal_code": "840055090",
            "telephone_number": "714-875-3593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3375 W MAYFLOWER WAY",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840433134",
            "telephone_number": "801-331-6775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLETCHER",
        "first_name": "JACOB",
        "credential": "LCMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-18",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "118110476004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel B Fisher, DPT, OCS, FAAOMPT
• Kidist Fisseha
• Joseph Richard Fitzgerald, CRNA
• Emily Flake
• Alexandria Fletcher
• Flexality Inc Dba Alpine Professional Counseling
• Flexscan Ultrasound LLC
• Trevor A Flood, MD
• Jenna Ann Floreani, AUD
• Brian Flores

• Mental Health Counselor in Lehi, UT
• Providers in Lehi, 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 Jul 18, 2022; 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.