JACOB KERRY MCBRIDE (NPI# 1932541315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932541315 |
| Entity Type | Individual |
| Full Name | JACOB KERRY MCBRIDE |
| Credential | ACMHC |
| Practice Address |
344 E 100 S Salt Lake City UT 84111-1700 |
| Practice Telephone | 8014283443 |
| Enumeration Date | 2013-07-25 |
| Last Update Date | 2019-09-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
10844181-6009 | UT | Behavioral Health & Social Service Providers |
| N | 253J00000X | Foster Care Agency | Agencies |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 862 S Main St, Brigham City, UT 843023320 | 4357231799 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609375492 | Jacob Mcbride | Behavior Technician | 2121 S Blackhawk St 100, Aurora, CO 80014 | 2018-02-07 |
| 1013187533 | Jacob Christopher Mcbride | Physical Therapist | 15 S Main Street, Suite 220, Jamestown, NY 14701-6626 | 2008-03-12 |
| 1497014211 | Jacob William Mcbride | Psychiatry & Neurology | 3811 O'hara Street, Pittsburgh, PA 15213 | 2012-05-14 |
| Street Address |
344 E 100 S |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84111-1700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033710702 | Alyssa Nikole Tisdale | Case Manager/Care Coordinator | 344 E 100 S, Salt Lake City, UT 84111-1700 | 2020-11-07 |
| 1275134074 | Tina Floyd | Case Manager/Care Coordinator | 344 E 100 S, Salt Lake City, UT 84111-1700 | 2020-11-06 |
| 1568063360 | Sylvia Anna Malinowski | Case Manager/Care Coordinator | 344 E 100 S, Salt Lake City, UT 84111-1700 | 2020-11-06 |
| 1346841392 | Kasia Fackrell | Case Manager/Care Coordinator | 344 E 100 S, Salt Lake City, UT 84111-1700 | 2020-11-05 |
| 1770184756 | Shayla Dawn Dinger | Case Manager/Care Coordinator | 344 E 100 S, Salt Lake City, UT 84111-1700 | 2020-11-05 |
| 1275134405 | Alicia Beth Zollinger | Case Manager/Care Coordinator | 344 E 100 S, Salt Lake City, UT 84111-1700 | 2020-11-04 |
| 1366043499 | Alyssa Butler | Case Manager/Care Coordinator | 344 E 100 S, Salt Lake City, UT 84111-1700 | 2020-11-04 |
| 1518568823 | Makinley Herrera | Case Manager/Care Coordinator | 344 E 100 S, Salt Lake City, UT 84111-1700 | 2020-11-03 |
| 1851992119 | Brooke Butcher | Case Manager/Care Coordinator | 344 E 100 S, Salt Lake City, UT 84111-1700 | 2020-11-03 |
| 1063012003 | Jasmine Jemima Miyako Garcia | Case Manager/Care Coordinator | 344 E 100 S, Salt Lake City, UT 84111-1700 | 2020-10-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316551336 | Mary Ann Rush | Case Manager/Care Coordinator | 334 E. 100 S., Slc, UT 84111 | 2020-09-08 |
| 1790396554 | Stephanie G Mishenko | Military Health Care Provider | 344e 100s, Slc, UT 84111 | 2020-08-13 |
| 1386264802 | Mckensee M Carter | Case Manager/Care Coordinator | 334 E 100 S, Salt Lake City, UT 84111 | 2020-04-24 |
| 1316421761 | Community Health Centers, Inc. | Social Worker | 610 S 200 E Ste #b, Salt Lake City, UT 84111 | 2018-09-21 |
| 1528545506 | Lauren Brittney Harman | Case Manager/Care Coordinator | 344 E. 100 S., Salt Lake City, UT 84111 | 2018-07-23 |
| 1851896484 | Shivani Chowdhary | Dentist | 370 E South Temple Ste 350, Salt Lake City, UT 84111 | 2018-03-26 |
| 1801390661 | Jaylee Marie Watman | Case Manager/Care Coordinator | 344 E. 100 S. Ste 301, Salt Lake City, UT 84111 | 2018-03-19 |
| 1467963918 | Victoira Julia Graham | Case Management | 344 East 100 South Ste 301, Salt Lake City, UT 84111 | 2017-10-23 |
| 1750805404 | Kayla Hymas | Behavioral Analyst | 243 E. 400 S., Slc, UT 84111 | 2017-08-02 |
| 1134643224 | Julie Peaslee | Counselor | 275 E South Temple Ste 110, Salt Lake City, UT 84111 | 2017-07-31 |
| Find all providers in zip 84111 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750262 | Nathan Haslam | Counselor | 636 E Roosevelt Ave, Salt Lake City, UT 84105-2121 | 2020-11-06 |
| 1962003541 | Allison Lee | Counselor | 565 S Post St, Salt Lake City, UT 84104-1346 | 2020-11-02 |
| 1699374439 | Heidemarie Lex | Counselor | 3125 E Kennedy Dr Apt 605, Salt Lake City, UT 84108-2156 | 2020-10-22 |
| 1477166759 | Utah Infertility Resource Center | Counselor | 1565 E 3300 S, Salt Lake City, UT 84106-3370 | 2020-08-26 |
| 1689292658 | Truu Management | Counselor | 1554 S State St, Salt Lake City, UT 84115-1632 | 2020-07-07 |
| 1275169823 | Ashley White | Counselor | 1190 S 300 E, Salt Lake City, UT 84111-4636 | 2020-03-16 |
| 1184257107 | Richard Gregg Buxton | Counselor | 739 S 300 W Unit 113, Salt Lake City, UT 84101-2617 | 2020-02-18 |
| 1609416254 | Rmc Counseling | Counselor | 155 E 900 S Ste 111213, Salt Lake City, UT 84111-4229 | 2020-01-12 |
| 1114563681 | Caroline Graham | Counselor | 131 E 700 S, Salt Lake City, UT 84111-3805 | 2019-11-20 |
| 1629622303 | Healing Feathers LLC | Counselor | 1174 E Graystone Way Ste 10, Salt Lake City, UT 84106-2671 | 2019-07-30 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84111 |
Please comment or provide details below to improve the information on JACOB KERRY MCBRIDE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.