Active NPI
Debbie S. Jacobs, BS
- Mental Health Counselor
- Taylorsville, UT
National Provider Identifier
1780033977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 5689 S Redwood Rd Unit 27
Taylorsville, UT 84123-5499 - Phone
- (801) 266-2485
- NPI assigned
- Jun 8, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | |||
| Dental Hygienist | 124Q00000X | 265186-9920 | UT | |
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
5689 S Redwood Rd Unit 27
Taylorsville, UT 84123-5499
Mailing address
7302 S Aerie Hill Dr
West Jordan, UT 84081-4134
Phone (435) 879-9006
Other practice location 1
3078 W 7800 S Ste 7B
West Jordan, UT 84088-3704
Phone (801) 797-2408
Other practice location 2
1967 Stanley Road
Building 2375
San Antonio, TX 78234
Phone (210) 295-4156
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 265186-9920 | UT | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654646400000",
"number": "1780033977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7302 S AERIE HILL DR",
"city": "WEST JORDAN",
"state": "UT",
"postal_code": "840814134",
"telephone_number": "435-879-9006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5689 S REDWOOD RD UNIT 27",
"city": "TAYLORSVILLE",
"state": "UT",
"postal_code": "841235499",
"telephone_number": "801-266-2485"
}
],
"practiceLocations": [
{
"address_1": "3078 W 7800 S Ste 7B",
"address_purpose": "LOCATION",
"city": "West Jordan",
"state": "UT",
"postal_code": "840883704",
"country_code": "US",
"telephone_number": "801-797-2408",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1967 Stanley Road",
"address_2": "Building 2375",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "78234",
"country_code": "US",
"telephone_number": "210-295-4156",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JACOBS",
"first_name": "DEBBIE",
"middle_name": "S.",
"name_prefix": "Ms.",
"credential": "BS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-08",
"last_updated": "2022-06-08",
"certification_date": "2022-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "UT",
"license": "265186-9920",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Taylorsville, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.