1. Home
  2. Directory
  3. Utah
  4. Logan
  5. Nurse Practitioner
  6. NPI Profile

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

Active since January 16, 2023CLIA 46D2333227 · Waiver
40 W CACHE VALLEY BLVD STE 7A, LOGAN, UT 84341(435) 538-2152(435) 625-6237 Get Directions Write a Review

NPPES record last updated: October 13, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About River Hollow Mental Health Pllc NPPES

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

RIVER HOLLOW MENTAL HEALTH PLLC (NPI 1164137170) is a healthcare organization registered as a psychiatric/mental health in Logan, Utah and active in the NPI registry since January 2023. The organization holds a CLIA Waiver certificate valid through October 30, 2027 and lists Jacob Christian Hunsaker, Ceo, as its authorized official.

NPPES Registry Identity

NPI1164137170
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameRIVER HOLLOW MENTAL HEALTH PLLC
Location Address40 W CACHE VALLEY BLVD STE 7ALogan, UT 84341-8475
Mailing Address40 W Cache Valley Blvd Ste 7aLogan, UT 84341-8475 · (435) 538-2152 · Fax (435) 625-6237
Phone(435) 538-2152
Fax(435) 625-6237
Organization SubpartNo
Authorized OfficialJacob Christian HunsakerCeo · (435) 538-2152
Enumeration DateJanuary 16, 2023
Last NPPES UpdateOctober 13, 2025
NPPES CertifiedOctober 13, 2025
✔ NPI 1164137170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedMarriage & Family TherapistTaxonomy 106H00000X
40 W CACHE VALLEY BLVD STE 7A, Logan, UT 84341
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 46D2333227

River Hollow Mental Health · Logan, UT
Active · expires Oct 30, 2027
CLIA Number46D2333227
Laboratory TypePractitioner Other
Certificate Effective DateOctober 31, 2025
Certificate Expiration DateOctober 30, 2027
Laboratory DirectorJacob C. Hunsaker
Laboratory Phone(435) 538-2152
Laboratory LocationRiver Hollow Mental Health40 W Cache Valley Blvd, Ste 7A, Logan, UT 84341
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

JACOB CHRISTIAN HUNSAKER DNP, PMHNP, LMFT
Nurse Practitioner (Psychiatric/Mental Health)
40 W CACHE VALLEY BLVD STE 7A
LOGAN, UT 84341
Cache County (435) 538-2152
AUBREY JOHNSON PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
40 W CACHE VALLEY BLVD STE 7A
LOGAN, UT 84341
Cache County (435) 538-2152
MARISA PUALANI DAVIS
Social Worker (Clinical)
40 W CACHE VALLEY BLVD STE 7A
LOGAN, UT 84341
Cache County (435) 538-2152
MADISON DAVIS LCSW
Social Worker (Clinical)
40 W CACHE VALLEY BLVD STE 7A
LOGAN, UT 84341
Cache County (435) 538-2152

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 River Hollow Mental Health PLLC's NPI number?

The NPI number for River Hollow Mental Health PLLC is 1164137170. It was assigned to this organization in the NPPES registry on January 16, 2023.

Where is River Hollow Mental Health PLLC located?

River Hollow Mental Health PLLC is located at 40 W Cache Valley Blvd Ste 7A, Logan, UT 84341. The listed phone number is (435) 538-2152.

What is River Hollow Mental Health PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Does River Hollow Mental Health PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 46D2333227) is associated with this NPI, valid through October 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does River Hollow Mental Health PLLC accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list River Hollow Mental Health PLLC 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 River Hollow Mental Health PLLC was last updated on October 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.