1. Home
  2. Directory
  3. Utah
  4. Provo
  5. Counselor
  6. NPI Profile

TAWNI JACOBSON ACMHC
NPI 1043886757
Counselor - Mental Health in Provo, UT

Active since June 02, 2021Opted out of Medicare · through Jan 24, 2028
1933 N 1120 W, PROVO, UT 84604(801) 683-6830 Get Directions Write a Review

NPPES record last updated: June 2, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Tawni Jacobson Acmhc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TAWNI JACOBSON ACMHC (NPI 1043886757) is an individual mental health provider in Provo, Utah, licensed in Utah (8896415-6009) and active in the NPI registry since June 2021. She has opted out of Medicare through January 24, 2028.

NPPES Registry Identity

NPI1043886757
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTAWNI JACOBSONCredential: ACMHC
Location Address1933 N 1120 WProvo, UT 84604-1044
Mailing Address4918 E Oakwood DrEagle Mountain, UT 84005-7211 · (702) 807-0377
Phone(801) 683-6830
Sole ProprietorNo
Enumeration DateJune 2, 2021
NPPES CertifiedJune 2, 2021
✔ NPI 1043886757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in UT · 8896415-6009
1933 N 1120 W, Provo, UT 84604
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Tawni Jacobson Acmhc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 24, 2024 through January 24, 2028.

Opt-Out Effective DateJanuary 24, 2024
Opt-Out In Effect ThroughJanuary 24, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. JOY BOUCHARD CSWI
Social Worker (Clinical)
1933 N 1120 W
PROVO, UT 84604
Utah County (801) 683-6830
MEGAN TAYLOR RIGDON CSW
Social Worker (Clinical)
1933 N 1120 W
PROVO, UT 84604
Utah County (801) 940-5815

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tawni Jacobson's NPI number?

The NPI number for Tawni Jacobson is 1043886757. It was assigned to this individual provider in the NPPES registry on June 2, 2021.

Where is Tawni Jacobson located?

Tawni Jacobson practices at 1933 N 1120 W, Provo, UT 84604. The listed phone number is (801) 683-6830.

What is Tawni Jacobson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Tawni Jacobson enrolled in Medicare?

No. Tawni Jacobson has opted out of Medicare through January 24, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Tawni Jacobson accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah and Select Health list Tawni Jacobson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tawni Jacobson was last updated on June 2, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.