Nathan Jacquez, CMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

11139845-6004 Issued in UT

Practice address

455 E 200 S Ste 110-D
Salt Lake City, UT 84111-2157

Phone

(801) 941-0364

NPI assigned

Oct 18, 2017

Last updated

Aug 26, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nathan Jacquez CMHC

  • Mental Health Counselor
  • Salt Lake City, UT
  • NPI 1548966872
  NPD Authorized official

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

{
    "created_epoch": "1508284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1912418898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 S 600 E # 8B1",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841021999",
            "telephone_number": "801-941-0364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 E 200 S STE 110-D",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841112157",
            "telephone_number": "801-941-0364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACQUEZ",
        "first_name": "NATHAN",
        "credential": "CMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-10-18",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "11139845-6004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirsten Jacobson
• Steven Allen Jacobson
• Taylee Jacobson
• Kimberly Jacobus
• Rachael Sue Jacoby, MD
• Christianne Jafari, DO
• Adiya Jaffari, MD
• Michael Jonathan Jaffe, M.D.
• Janell Lyn Jager, M.D.
• Zachary James Jager

• Mental Health Counselor in Salt Lake City, UT
• Providers in Salt Lake 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 Aug 26, 2025; 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.