Jacqueline Evans-McAlister, CMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

9056683-6004 Issued in UT

Practice address

450 W 910 S # 200
Heber City, UT 84032-2447

Phone

(435) 850-7402

NPI assigned

May 2, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Kintsugi Counseling, LLC

  • Adult Mental Health Clinic/Center
  • Heber City, UT
  • NPI 1013478346
  NPD Authorized official

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

{
    "created_epoch": "1209686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555891200000",
    "number": "1902072630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 N MAIN STREET SUITE C#448",
            "city": "HEBER CITY",
            "state": "UT",
            "postal_code": "840329299",
            "telephone_number": "435-850-7402",
            "fax_number": "435-538-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 W 910 S # 200",
            "city": "HEBER CITY",
            "state": "UT",
            "postal_code": "840322447",
            "telephone_number": "435-850-7402"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2538 Big Horn Ave",
            "address_purpose": "LOCATION",
            "city": "Cody",
            "state": "WY",
            "postal_code": "824149299",
            "country_code": "US",
            "telephone_number": "307-587-2197 x17",
            "fax_number": "307-527-6218",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVANS-MCALISTER",
        "first_name": "JACQUELINE",
        "credential": "CMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-02",
        "last_updated": "2019-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "9056683-6004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSING NUMBER",
            "identifier": "9056683-6004",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adam Todd Durrant, CSW
• Elevate Therapies, LLC
• Jeffrey Scott Ellis, DMD
• Empathic Podiatry
• Robert Kim Erickson, DVM
• Shalee Jo Fackrell-Speredon
• Kimberly Fagen
• Ofer Zvi Faig, MD
• Michael J. Farrell IV, D.O.
• Dayton Ferguson, DPT

• Mental Health Counselor in Heber City, UT
• Providers in Heber City, 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 Apr 22, 2019; 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.