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

Jessica Dawn Black, ACMHC

Individual provider Mental Health Counselor · NPI 1619529500

Jessica Dawn Black, ACMHC is a Mental Health Counselor in Bountiful, Utah. Licensed in Utah. Registered with an NPI since 2019.

Licensed in
UT
In the registry since
2019

Practice location Address checks out

1576 S 500 W Ste 102
Bountiful, UT 84010
Phone: (801) 406-9002
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 11070400-6009 (UT)

Record details

NPI number1619529500
Entity typeIndividual (Type 1)
GenderFemale
Credentials ACMHC
Sole proprietorNo
NPI enumeratedJuly 11, 2019
Last updated in NPPESJuly 11, 2019

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