Taia Southichack, ACMHC - Counselor in American Fork, UT

Taia Southichack, ACMHC is a Counselor - Mental Health based in American Fork, Utah. Taia Southichack is licensed to practice in Utah (license number 13498101-6009) and her current practice location is 64 S 360 E, American Fork, Utah. She can be reached at her office (for appointments etc.) via phone at (801) 449-0017.

NPI number for Taia Southichack is 1619650983 and her current mailing address is 452 N 625 W, Clearfield, Utah. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1619650983.

Contact Information

Taia Southichack, ACMHC
64 S 360 E,
American Fork, UT 84003-2590
(801) 449-0017
Not Available

Healthcare Provider's Profile

Full NameTaia Southichack
GenderFemale
SpecialityCounselor - Mental Health
Location64 S 360 E, American Fork, Utah
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1619650983
  • Provider Enumeration Date: 08/11/2023
  • Last Update Date: 08/11/2023

Medical Identifiers

Medical identifiers for Taia Southichack such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619650983NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health 13498101-6009 (Utah)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Taia Southichack is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Taia Southichack, ACMHC
452 N 625 W,
Clearfield, UT 84015-3859

Ph: (801) 814-8060
Taia Southichack, ACMHC
64 S 360 E,
American Fork, UT 84003-2590

Ph: (801) 449-0017

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› Verified 6 days ago


Counselor in American Fork, UT

Jennifer Roach, MA, LCMHC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 342 S 850 W Apt 306, American Fork, UT 84003
Phone: 206-427-7754    Fax: 425-258-5275
Chelsey Wood,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 433 S 500 E, American Fork, UT 84003
Phone: 801-216-8000    
Katie Gooch, LMFT
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 384 E 60 S, American Fork, UT 84003
Phone: 801-901-0279    
Ms. Donna F. Kendall, LPC, NCC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: Lds Family Services, 500 South State, American Fork, UT 84003
Phone: 801-226-8000    
Kimberly Schneider,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 71 N 490 W, American Fork, UT 84003
Phone: 801-763-7775    
Katie Borski,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 71 N 490 W, American Fork, UT 84003
Phone: 801-763-7775    
Mr. Wayne Sears, CMHC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 802 E Bamberger Dr Ste D, American Fork, UT 84003
Phone: 801-633-7677    

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