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JACOB RYAN HENINGER APRN, PMHNP-BC
NPI 1639017536
Nurse Practitioner - Psychiatric/Mental Health in Salt Lake City, UT

Active since March 23, 2026
525 E 100 S STE 5, SALT LAKE CITY, UT 84102(801) 585-1212 Get Directions Write a Review

NPPES record last updated: March 23, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacob Ryan Heninger Aprn, Pmhnp-bc NPPES

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

JACOB RYAN HENINGER APRN, PMHNP-BC (NPI 1639017536) is an individual psychiatric/mental health provider in Salt Lake City, Utah, licensed in Utah (12298853-4405) and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1639017536
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameJACOB RYAN HENINGERCredential: APRN, PMHNP-BC
Location Address525 E 100 S STE 5Salt Lake City, UT 84102-4210
Mailing Address2925 N Church St Unit B302Layton, UT 84040-6600
Phone(801) 585-1212
Sole ProprietorNo
Enumeration DateMarch 23, 2026
NPPES CertifiedMarch 19, 2026
✔ NPI 1639017536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in UT · 12298853-4405
525 E 100 S STE 5, Salt Lake City, UT 84102
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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 Jacob Heninger's NPI number?

The NPI number for Jacob Heninger is 1639017536. It was assigned to this individual provider in the NPPES registry on March 23, 2026.

Where is Jacob Heninger located?

Jacob Heninger practices at 525 E 100 S Ste 5, Salt Lake City, UT 84102. The listed phone number is (801) 585-1212.

What is Jacob Heninger's specialty?

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

When was this NPI record last updated?

The NPPES record for Jacob Heninger was last updated on March 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.