Individual provider Active NPI

Jacquelyn Button

  • Mental Health Counselor
  • Draper, UT
National Provider Identifier
1225430119
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
9148370-6009 Issued in UT
Practice address
14425 S Bitterbrush LN
Draper, UT 84020-9501
Phone
(801) 576-7939
NPI assigned
Sep 22, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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 9148370-6009 UT Primary

Addresses

Primary practice location

14425 S Bitterbrush LN
Draper, UT 84020-9501

Mailing address

14425 S Bitterbrush LN
Draper, UT 84020-9501
Phone (801) 576-7939

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20240305002217 NV Practitioner - Mental Health Counselor 1850736406 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Behavioral Health Solutions LLCGroup PAC ID 4385998954, 60 clinicians

Practice addresses (Care Compare)

2200 Paseo Verde Pkwy
Suite 190
Henderson, NV 89052-2703
Phone (702) 589-4871

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9148370-6009UTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Next Level Psychiatry Arizona PLLC CurrentSince Jan 16, 2024 Accepting new patients
Behavioral Health Solutions LLC Mental Health CurrentSince Jan 16, 2024 Accepting new patients

Locations

2200 Paseo Verde Pkwy
Ste 190
Henderson, NV 89052
Phone (702) 483-5061

Interoperability endpoints

  • Direct secure messaging: jacquelyn.button.1@24259.direct.athenahealth.com

Organizations & group practices 2

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": "1411344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1225430119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14425 S BITTERBRUSH LN",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840209501",
            "telephone_number": "801-576-7939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14425 S BITTERBRUSH LN",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840209501",
            "telephone_number": "801-576-7939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTTON",
        "first_name": "JACQUELYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-22",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "9148370-6009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Draper, UT

Sources for this page

Verify at the official NPI Registry.