Individual provider Active NPI

Jennie Pool, CMHC

  • Mental Health Counselor
  • Saint George, UT
National Provider Identifier
1245634518
Registry record updated Oct 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
952624-6004 Issued in UT
Practice address
55 N 200 W Ste 2
Saint George, UT 84770-1303
Phone
(435) 705-9213
NPI assigned
Oct 15, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 9526241-6004 UT
Mental Health Counselor 101YM0800X 952624-6004 UT Primary

Addresses

Primary practice location

55 N 200 W Ste 2
Saint George, UT 84770-1303

Mailing address

55 N 200 W Ste 2
Saint George, UT 84770-1303
Phone (435) 705-9213

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
I20240112003829 UT Practitioner - Mental Health Counselor 9032569124 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mend Counseling Center LLCGroup PAC ID 8123478211, 6 clinicians

Practice addresses (Care Compare)

55 N 200
Suite 2
St George, UT 84770-1303
Phone (435) 301-8969

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
952624-6004UTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
M.E.N.D. Counseling Center, L.L.C. Mental Health CurrentSince Jan 1, 2024 Accepting new patients

Locations

55 N 200 W
Ste 2
St George, UT 84770
Phone (435) 301-8969

491 E Riverside Dr
Ste 1B
St George, UT 84790
Phone (435) 301-8969

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1413331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1245634518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 N 200 W STE 2",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847701303",
            "telephone_number": "435-705-9213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 N 200 W STE 2",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847701303",
            "telephone_number": "435-705-9213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POOL",
        "first_name": "JENNIE",
        "credential": "CMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-15",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "9526241-6004",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "952624-6004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint George, UT

Sources for this page

Verify at the official NPI Registry.