Active NPI
Jared Greene
- Mental Health Counselor
- Manti, UT
National Provider Identifier
1003100868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 50 S Main St Ste 21
Manti, UT 84642-1378 - Phone
- (435) 851-9126
- NPI assigned
- Jun 8, 2011
- Last updated
- Jun 5, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | UT | Primary |
Addresses
Primary practice location
50 S Main St Ste 21
Manti, UT 84642-1378
Mailing address
545 N 500 W
Manti, UT 84642-1041
Phone (435) 851-9126
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1 | Medicaid | UT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190410002591 | UT | Practitioner - Clinical Psychologist | 7315288834 | Practice locations: Manti, UT |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
50 S Main St
Suite 21
Manti, UT 84642-1378
Phone (435) 851-9126
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780617600000",
"number": "1003100868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "545 N 500 W",
"city": "MANTI",
"state": "UT",
"postal_code": "846421041",
"telephone_number": "435-851-9126",
"fax_number": "435-835-4964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 S MAIN ST STE 21",
"city": "MANTI",
"state": "UT",
"postal_code": "846421378",
"telephone_number": "435-851-9126"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENE",
"first_name": "JARED",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-06-08",
"last_updated": "2026-06-05",
"certification_date": "2026-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "UT",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Manti, UT
- Emily Cox, CPCI
- Richard P Cox, PHARM.D.
- Tauamanua Enosa Fiapai
- Michael S Frischknecht, MD
- Joshua Clark Graham, PA-C
- Gunnison Valley Hospital (Main Street Family Clinic)
- Gunnison Valley Hospital (Manti Pharmacy)
- Hometown Personal Care Services
- Jesse Frank Hudson, LPCC
- Ihc Health Services Inc (Intermountain Manti Clinic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.