Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacob Shane Smith, ACMHC

Individual provider Mental Health Counselor · NPI 1801541511

Jacob Shane Smith, ACMHC is a Mental Health Counselor in Eagle Mountain, Utah. Practices as a sole proprietor. Licensed in Utah.

Licensed in
UT
In the registry since
2022
Specialties on file
3

Practice location Address checks out

3714 E Campus Dr Ste 101
Eagle Mountain, UT 84005-5451
Phone: (801) 789-7780
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 8519497-6004 (UT)
Mental Health Counselor Taxonomy 101YM0800X · Licence 8519497-6101 (UT)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1801541511
Entity typeIndividual (Type 1)
GenderMale
Credentials ACMHC
Sole proprietorYes
NPI enumeratedFebruary 21, 2022
Last updated in NPPESMay 20, 2024
Certification dateMay 20, 2024
Mailing address2418 E Hitching Post Dr, Eagle Mountain, UT 84005-2004

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