Jacob Dastrup

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

13536880 Issued in UT

Practice address

487 E 1000 S Ste a
Pleasant Grove, UT 84062-3639

Phone

(801) 893-6399

NPI assigned

Mar 2, 2020

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

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 and National Provider Directory roles.

• Sonatix Wellness

  • Psychiatry Physician
  • Pleasant Grove, UT
  • NPI 1134841711
  NPD

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

{
    "created_epoch": "1583107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1619501368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "487 E 1000 S STE A",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840623639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "487 E 1000 S STE A",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840623639",
            "telephone_number": "801-893-6399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DASTRUP",
        "first_name": "JACOB",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-02",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "13536880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Curtis, O.D.
• Toni Curtis
• Bridger Thomas Cutler, DC
• Haley Joy Dahl
• Ana M. Dalling, PA
• Hillary Bowler Davis, AMFT
• Stephanie Davis, LMFT
• Vicki M Davis
• Collette Dawson-Loveless, CSW
• Julie Diana Day

• Mental Health Counselor in Pleasant Grove, UT
• Providers in Pleasant Grove, 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 Aug 22, 2023; 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.