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TAIA SOUTHICHACK ACMHC
NPI 1619650983
Counselor - Mental Health in American Fork, UT

Active since August 11, 2023
64 S 360 E, AMERICAN FORK, UT 84003(801) 449-0017 Get Directions Write a Review

NPPES record last updated: August 11, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Taia Southichack Acmhc NPPES

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

TAIA SOUTHICHACK ACMHC (NPI 1619650983) is an individual mental health provider in American Fork, Utah, licensed in Utah (13498101-6009) and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1619650983
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTAIA SOUTHICHACKCredential: ACMHC
Location Address64 S 360 EAmerican Fork, UT 84003-2590
Mailing Address452 N 625 WClearfield, UT 84015-3859 · (801) 814-8060
Phone(801) 449-0017
Sole ProprietorNo
Enumeration DateAugust 11, 2023
NPPES CertifiedAugust 11, 2023
✔ NPI 1619650983 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 · 13498101-6009
64 S 360 E, American Fork, UT 84003
Open in Google Maps ↗

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.

TIERA KIMBALL CSW
Social Worker (Clinical)
64 S 360 E
AMERICAN FORK, UT 84003
Utah County (801) 449-0017
BROOKE HANSEN LMFT
Marriage & Family Therapist
64 S 360 E
AMERICAN FORK, UT 84003
Utah County (435) 494-1256

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 Taia Southichack's NPI number?

The NPI number for Taia Southichack is 1619650983. It was assigned to this individual provider in the NPPES registry on August 11, 2023.

Where is Taia Southichack located?

Taia Southichack practices at 64 S 360 E, American Fork, UT 84003. The listed phone number is (801) 449-0017.

What is Taia Southichack's specialty?

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

When was this NPI record last updated?

The NPPES record for Taia Southichack was last updated on August 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.