Individual provider Active NPI

Jennifer P Duffin, CMHC

  • Mental Health Counselor
  • Park City, UT
National Provider Identifier
1457872079
Registry record updated Dec 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
10846476-6004 Issued in UT
Practice address
2700 Homestead Rd Ste 210
Park City, UT 84098-4858
Phone
(801) 753-8771
Fax
(801) 295-2841
NPI assigned
Jul 5, 2017
Last updated
Dec 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2025

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 NU
Mental Health Counselor 101YM0800X 10846476-6004 UT Primary

Addresses

Primary practice location

2700 Homestead Rd Ste 210
Park City, UT 84098-4858

Mailing address

3281 N 425 W
Lehi, UT 84043
Phone (801) 735-2301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 15, 2025 through Jul 15, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
10846476-6004UTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Silver Creek Counseling LLC Mental Health CurrentSince Jul 1, 2022 Accepting new patients
Volunteers of America Past Accepting new patients

Locations

2700 Homestead Rd
Ste 210
Park City, UT 84098
Phone (435) 565-1019

2700 Homestead Rd
Ste 220
Park City, UT 84098
Phone (385) 436-1827

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, 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": "1499212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766793600000",
    "number": "1457872079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3281 N 425 W",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "84043",
            "telephone_number": "801-735-2301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 HOMESTEAD RD STE 210",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840984858",
            "telephone_number": "801-753-8771",
            "fax_number": "801-295-2841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUFFIN",
        "first_name": "JENNIFER",
        "middle_name": "P",
        "credential": "CMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-05",
        "last_updated": "2025-12-27",
        "certification_date": "2025-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "10846476-6004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park City, UT

Sources for this page

Verify at the official NPI Registry.