Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB SHANE SMITH, ACMHC
Active Sole ProprietorJACOB SHANE SMITH, ACMHC is a Mental Health Counselor healthcare provider located in EAGLE MOUNTAIN, Utah. NPI 1801541511 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · EAGLE MOUNTAIN, UT
Registration Details
- NPI Number
- 1801541511
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 21, 2022 (4.4501741271165 yrs)
- Last Updated
- May 20, 2024
- Licenses
-
8519497-6004 (UT)8519497-6101 (UT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3714 E CAMPUS DR STE 101EAGLE MOUNTAIN, UT, 840055451Browse UT providers · Browse ZIP 84005
- Phone
- 8017897780
- Primary Specialty
-
Mental Health Counselor
101YM0800X
- Additional Specialty
- Mental Health Counselor
- Additional Specialty
- Mental Health Counselor
Other Mental Health Counselor Providers in EAGLE MOUNTAIN, UT
| Name | Credential | NPI |
|---|---|---|
| MR. RAY LEON ORBIN | CMHC | 1427019124 |
| BENJAMIN L. REAVES | — | 1609216241 |
| DANIEL RICHARD WALKER | CMHC | 1275941759 |
| ROMAN LAWS | — | 1467011486 |
| LORRAINE T. SIMMONS | LCMHC | 1992389829 |
| MERRITT GRACE LEBRECHT | ACMHC, TRS, CTRS | 1033849633 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.