Individual provider Active NPI

Delores Dorrill Peacock

  • Mental Health Counselor
  • Cedar City, UT
National Provider Identifier
1215310859
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6508408-6004 Issued in UT
Practice address
535 S Main St Ste 2
Cedar City, UT 84720-3576
Phone
(435) 418-0088
NPI assigned
Jul 1, 2015
Last updated
Aug 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6508408-6004 UT Primary

Addresses

Primary practice location

535 S Main St Ste 2
Cedar City, UT 84720-3576

Mailing address

535 S Main St Ste 2
Cedar City, UT 84720-3576
Phone (435) 418-0088

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
I20251008002768 UT Practitioner - Mental Health Counselor 2163737230 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trauma Treatment and Counseling LLCGroup PAC ID 3476900796, 8 clinicians

Practice addresses (Care Compare)

249 E Tabernacle St
Suite 100
St George, UT 84770-2951
Phone (801) 995-1788

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Trauma Treatment & Counseling LLC CurrentSince Oct 1, 2025 Accepting new patients

Locations

249 E Tabernacle St
Ste 100
St George, UT 84770
Phone (435) 227-5506

766 N 2860 E
Ste 201
St George, UT 84790
Phone (435) 227-5250

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1435708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1215310859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 S MAIN ST STE 2",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847203576",
            "telephone_number": "435-418-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 S MAIN ST STE 2",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847203576",
            "telephone_number": "435-418-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEACOCK",
        "first_name": "DELORES",
        "middle_name": "DORRILL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-01",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "6508408-6004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar City, UT

Sources for this page

Verify at the official NPI Registry.