Jacob R Andreason
Individual provider Active NPI Mental Health Counselor · South Jordan, UT
NPI 1992011860 · NPPES record last updated Mar 10, 2023
Key facts
- NPI
- 1992011860
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 10808 S River Front Pkwy Ste 308
South Jordan, UT 84095-5761 - Phone
- (801) 984-6728
- Fax
- (801) 984-4715
- NPI assigned
- Aug 29, 2010
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Theory Counseling LLC | Mental Health | Current |
Accepting new patients |
Locations
10808 S River Front Pkwy
Ste 308
South Jordan, UT 84095
Phone (801) 984-6726
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
10808 S River Front Pkwy Ste 308
South Jordan, UT 84095-5761
Mailing address
10808 S River Front Pkwy Ste 308
South Jordan, UT 84095-5761
Phone (801) 984-6728
Other providers in South Jordan, UT
- Kaitlyn Fay Anderson
- Lacey Anderson
- Susannah Anderson
- Virginia Carolyn Williams Anderson
- Barett D Andreasen
- Andrew Robinson D O LLC
- Curtis K Andrews
- Marlin V Andrus
- Sharon Angelici
- Lisa Maureen Angelos
All providers in South Jordan, UT · Mental Health Counselor in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 10, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.