Jordan Andrew Boyack

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

14293543-6009 Issued in UT

Practice address

172 E 14075 S Ste 110
Draper, UT 84020-5725

Phone

(801) 899-0732

NPI assigned

Aug 4, 2026

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

Practice roles

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.

• Ascendant Behavioral Health LLC

  • Clinical Social Worker
  • Murray, UT
  • NPI 1689128605
  NPD (past)

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

{
    "created_epoch": "1785801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1730002866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4137 S 900 E APT A",
            "city": "MILLCREEK",
            "state": "UT",
            "postal_code": "841241284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 E 14075 S STE 110",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840205725",
            "telephone_number": "801-899-0732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYACK",
        "first_name": "JORDAN",
        "middle_name": "ANDREW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-08-04",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "14293543-6009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David D Borba, CSW
• Tillie Borrelli, DNP
• Bailey Boss
• Farid Boualam, PT, DPT, CSCS
• Ingrid Boveda, PH.D.
• Suzanne Elizabeth Boyce, LMFT
• Ernest Edward Boyd Jr.
• Braces Braces Braces of Stonehaven - Draper LLC
• Sarah Braddock, DPT
• Michael James Bradley, M.D.

• Mental Health Counselor in Draper, UT
• Providers in Draper, 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 4, 2026; 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.