Jessica Dawn Black, ACMHC - Counselor in Bountiful, UT

Jessica Dawn Black, ACMHC is a Counselor - Mental Health based in Bountiful, Utah. Jessica Dawn Black is licensed to practice in Utah (license number 11070400-6009) and her current practice location is 1576 S 500 W, Suite 102, Bountiful, Utah. She can be reached at her office (for appointments etc.) via phone at (801) 406-9002.

NPI number for Jessica Dawn Black is 1619529500 and her current mailing address is 5398 S 1345 W, Riverdale, Utah. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1619529500.

Contact Information

Jessica Dawn Black, ACMHC
1576 S 500 W, Suite 102,
Bountiful, UT 84010
(801) 406-9002
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameJessica Dawn Black
GenderFemale
SpecialityCounselor - Mental Health
Location1576 S 500 W, Bountiful, Utah
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1619529500
  • Provider Enumeration Date: 07/11/2019
  • Last Update Date: 07/11/2019

Medical Identifiers

Medical identifiers for Jessica Dawn Black such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619529500NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health 11070400-6009 (Utah)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jessica Dawn Black is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jessica Dawn Black, ACMHC
5398 S 1345 W,
Riverdale, UT 84405-4000

Ph: (801) 209-1212
Jessica Dawn Black, ACMHC
1576 S 500 W, Suite 102,
Bountiful, UT 84010

Ph: (801) 406-9002

Reviews and Comments


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Practice Location: 501 W 2600 S, #200, Bountiful, UT 84010
Phone: 801-815-3443    Fax: 801-683-8962
Adrian Lopez, ACMHC
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Medicare: Not Enrolled in Medicare
Practice Location: 185 S 400 E Ste 100, Bountiful, UT 84010
Phone: 801-298-4112    

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