RIVER HOLLOW MENTAL HEALTH PLLC
NPI 1164137170
Nurse Practitioner - Psychiatric/Mental Health in Logan, UT

NPI Status: Active since January 16, 2023

Contact Information

40 W CACHE VALLEY BLVD STE 7A
LOGAN, UT
ZIP 84341
Phone: (435) 538-2152
Fax: (435) 625-6237

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  • Organization
  • Nurse Practitioner
  • Psychiatric/Mental Health
  • Accepts Insurance
  • CLIA Number: 46D2333227
  • CLIA Cert. Type: Practitioner Other
  • CLIA Exp. Date: 10-30-2027

About RIVER HOLLOW MENTAL HEALTH PLLC

This page provides the complete NPI Profile along with additional information for River Hollow Mental Health Pllc, a provider established in Logan, Utah operating as a Nurse Practitioner, focusing in psychiatric/mental health . The healthcare provider is registered in the NPI registry with number 1164137170 assigned on January 2023. The practitioner's primary taxonomy code is 363LP0808X. The provider is registered as an organization and their NPI record was last updated one year ago. River Hollow Mental Health Pllc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Jacob Christian Hunsaker Dnp, Pmhnp, Lmft (Ceo)

NPI
1164137170
Provider Name
RIVER HOLLOW MENTAL HEALTH PLLC
Entity Type
Organization
Location Address
40 W CACHE VALLEY BLVD STE 7A LOGAN, UT 84341
Location Phone
(435) 538-2152
Location Fax
(435) 625-6237
Mailing Address
40 W CACHE VALLEY BLVD STE 7A LOGAN, UT 84341
Mailing Phone
(435) 538-2152
Mailing Fax
(435) 625-6237
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-16-2023
Last Update Date
10-13-2025
Code Navigator

A nurse practitioner (NP) like River Hollow Mental Health Pllc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Psychiatric/Mental Health

Taxonomy Code
363LP0808X
Type
Physician Assistants & Advanced Practice Nursing Providers

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1106H00000XBehavioral Health & Social Service Providers

Marriage & Family Therapist

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BridgeSpan Standard Bronze Plan - HMO
  • BridgeSpan Standard Gold Plan - HMO
  • BridgeSpan Standard Silver Plan - HMO
  • Molina Gold Core 1640 - HMO
  • Molina Gold Core 1640 Plus with Adult Dental and Vision - HMO
  • Molina Gold Standard - HMO
  • Molina Silver Core - HMO
  • Molina Silver Core Plus with Adult Dental and Vision - HMO
  • Molina Silver Core Plus with Adult Vision - HMO
  • Molina Silver Saver with Four Free PCP Visits - HMO
  • Molina Silver Standard - HMO
  • Bronze Essential 9000 Deductible With 4 Copay No Deductible Office Visits - EPO
  • Bronze HSA 7000 - EPO
  • Gold 2300 - EPO
  • Regence Standard Bronze 7500 - EPO
  • Regence Standard Gold 2000 - EPO
  • Regence Standard Silver 6000 - EPO
  • Silver 6500 - EPO
  • Healthy Premier Bronze HSA - EPO
  • Healthy Premier Expanded Bronze Standard - EPO
  • Healthy Premier Gold Copay Office Visits - EPO
  • Healthy Premier Gold Standard - EPO
  • Healthy Premier Silver Copay Office Visits - EPO
  • Healthy Premier Silver Standard - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JACOB CHRISTIAN HUNSAKER DNP, PMHNP, LMFT

Authorized Official Title
CEO
Authorized Official Phone
(435) 538-2152

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
46D2333227
Facility Type
Practitioner Other
Certificate Effective Date
October 31, 2025
Certificate Expiration Date
October 30, 2027
Laboratory Director
JACOB C. HUNSAKER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to River Hollow Mental Health Pllc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1164137170, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
4
Unchanged
Pos 5
1
Doubled → 2
Pos 6
3
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
1
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 1 → 2 7 → 14 → 5 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 2 + 4 + 2 + 3 + 1 + 4 + 1 + 1 + 4 + 24 = 50

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 50 is 50. The difference is the calculated check digit.

50 - 50 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1164137170.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Social Worker (Clinical)
40 W CACHE VALLEY BLVD STE 7A
LOGAN, UT 84341
Social Worker (Clinical)
40 W CACHE VALLEY BLVD STE 7A
LOGAN, UT 84341
Nurse Practitioner (Psychiatric/Mental Health)
40 W CACHE VALLEY BLVD STE 7A
LOGAN, UT 84341
Nurse Practitioner (Psychiatric/Mental Health)
40 W CACHE VALLEY BLVD STE 7A
LOGAN, UT 84341

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164137170, enumerated as an "organization" on January 16, 2023.

The provider is located at 40 W CACHE VALLEY BLVD STE 7A LOGAN, UT 84341 and the phone number is (435) 538-2152.

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.

The provider might be accepting Accepts: BridgeSpan Health Company, Molina Healthcare,. Please consult your insurance carrier or call the provider to verify.