Jennifer Chase, PMHNP-BC
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · West Bountiful, UT
NPI 1386480077 · NPPES record last updated Aug 7, 2025
Key facts
- NPI
- 1386480077
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 11313919-4405 (UT)
- Practice address
- 801 N 500 W Ste 101
West Bountiful, UT 84010-6847 - Phone
- (770) 634-4603
- NPI assigned
- Jul 2, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Ascendant Behavioral Health LLC
Practice addresses (Care Compare)
801 N 500
Suite 101
West Bountiful, UT 84010-6847
Phone (801) 872-5516
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250910000591 | UT | Practitioner - Nurse Practitioner | 0840793626 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ascendant Behavioral Health LLC | Current |
Accepting new patients | |
| County of Weber | Past |
Accepting new patients |
Locations
4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392
3051 W Maple Loop Dr
Ste 210
Lehi, UT 84048
Phone (801) 502-3913
801 N 500 W
Ste 101
West Bountiful, UT 84010
Phone (770) 634-4603
Interoperability endpoints
- lifestancehealth.jenniferchase@154909.advancedmd-direct.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 11313919-4405 | UT | Yes |
Addresses
Primary practice location
801 N 500 W Ste 101
West Bountiful, UT 84010-6847
Mailing address
161 W 1875 N
Ogden, UT 84414-7261
Phone (770) 634-4603
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- Rachel Cottle
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All providers in West Bountiful, UT · Psychiatric/Mental Health Nurse Practitioner in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.