Individual provider Active NPI

June Akane Mitchell, LCSW

  • Clinical Social Worker
  • Stansbury Park, UT
National Provider Identifier
1184909285
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
387 W Delgada LN
Stansbury Park, UT 84074-4029
Phone
(435) 237-2731
NPI assigned
Oct 20, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

387 W Delgada LN
Stansbury Park, UT 84074-4029

Mailing address

387 W Delgada LN
Stansbury Park, UT 84074-4029
Phone (435) 237-2731

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250506000521 UT Practitioner - Clinical Social Worker 6709294713 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

310 E 4500
Suite 600
Murray, UT 84107-4246
Phone (801) 264-9522

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care of Ohio, Inc. Clinical CurrentSince Apr 18, 2025 Accepting new patients
June Mitchell, LCSW, PLLC CurrentSince Feb 9, 2025 Accepting new patients
Optum Behavioral Care of Ohio, Inc CurrentSince Apr 18, 2025 Accepting new patients
June Mitchell, LCSW, a Licensed Clinical Social Worker Corporation CurrentSince Feb 9, 2025 Accepting new patients

Locations

11000 Optum Cir
Eden Prairie, MN 55344
Phone (888) 445-8745

310 E 4500 S
Ste 600
Salt Lake City, UT 84107
Phone (801) 264-9522

Interoperability endpoints

  • Direct secure messaging: june.mitchell.1@28621.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1319068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1184909285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "387 W DELGADA LN",
            "city": "STANSBURY PARK",
            "state": "UT",
            "postal_code": "840744029",
            "telephone_number": "435-237-2731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "387 W DELGADA LN",
            "city": "STANSBURY PARK",
            "state": "UT",
            "postal_code": "840744029",
            "telephone_number": "435-237-2731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "JUNE",
        "middle_name": "AKANE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-20",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stansbury Park, UT

Sources for this page

Verify at the official NPI Registry.