Jacob Thiede

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

491 E Riverside Dr Ste 3a
St George, UT 84790-7056

Phone

(801) 980-2566

NPI assigned

Jun 13, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Zest for Life Counseling - St George

  • Social Worker
  • St George, UT
  • NPI 1396573440
  NPD
• Zest for Life Counseling

  • Clinical Social Worker
  • American Fork, UT
  • NPI 1952838435
  NPD (past)

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

{
    "created_epoch": "1560384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734912000000",
    "number": "1689233587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2461 S 780 W",
            "city": "HURRICANE",
            "state": "UT",
            "postal_code": "847372648",
            "telephone_number": "801-831-1841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "491 E RIVERSIDE DR STE 3A",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847907056",
            "telephone_number": "801-980-2566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIEDE",
        "first_name": "JACOB",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-13",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Jean Theobald
• Therapia Addiction Healing Center
• Therapy Associates, PC
• Therapy for You LLC
• David Thibault, DNP, FNP-BC, PMHS
• Nicole Marie Thiede, AUD
• Jon Thiriot
• H Clark Thomas, MD
• Jena M Thomas, APRN
• Jordan Sue Thomas

• Student in an Organized Health Care Education/Training Program in St George, UT
• Providers in St George, UT by specialty
• Student in an Organized Health Care Education/Training Program in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; 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.