Jacob Christian Nilson, CSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

13580941-3502 Issued in UT

Practice address

3590 Harrison Blvd Ste GL2
Ogden, UT 84403-2060

Phone

(801) 644-8229

NPI assigned

Sep 28, 2023

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

State licenses

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

{
    "created_epoch": "1695859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1902685894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3590 HARRISON BLVD STE GL2",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844032060",
            "telephone_number": "801-644-8229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3590 HARRISON BLVD STE GL2",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844032060",
            "telephone_number": "801-644-8229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NILSON",
        "first_name": "JACOB",
        "middle_name": "CHRISTIAN",
        "credential": "CSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-09-28",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "13580941-3502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kandice Rose Nielson, M.D.
• Kelli J Nielson, PHARMD
• Mary Kathryn Nielson, RN
• Paula Jean Nielson, LSAC
• Britney Nicole Nilsen, CSW
• Rob Nilsson, PHARMD
• Chelsea Mae Nizet, FNP-C
• Jason Robert Noall, CSW
• Gregory Noel, LMFT
• Yoko Nohara

• Mental Health Counselor in Ogden, UT
• Providers in Ogden, 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 Sep 28, 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.