Active NPI
Veronica Malencia
- Mental Health Counselor
- Loa, UT
National Provider Identifier
1649816638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 11511529-6009
- Practice address
- 1764 W Aspen Lane
Loa, UT 84747 - Phone
- (435) 836-2272
- NPI assigned
- Nov 25, 2019
- Last updated
- Nov 25, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 11511529-6009 | UT | Primary |
Addresses
Primary practice location
1764 W Aspen Lane
Loa, UT 84747
Mailing address
520 N Aspen Road
Loa, UT 84747
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
321 N Mall Dr
St George, UT 84790-7302
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11511529-6009 | UT | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Juniper Canyon Recovery Center for Women, LLC | Past | Accepting new patients | |
| Enlightened Counseling Services LLC | Past | Accepting new patients | |
| Legacy Treatment Center LLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Community/Behavioral Health Agency
- St George, UT
- NPI 1548998651
-
- Substance Abuse Rehabilitation Facility
- Loa, UT
- NPI 1114584356
-
- Substance Abuse Rehabilitation Facility
- Loa, UT
- NPI 1609266642
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574640000000",
"number": "1649816638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 N ASPEN ROAD",
"city": "LOA",
"state": "UT",
"postal_code": "84747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1764 W ASPEN LANE",
"city": "LOA",
"state": "UT",
"postal_code": "84747",
"telephone_number": "435-836-2272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALENCIA",
"first_name": "VERONICA",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-25",
"last_updated": "2019-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "UT",
"license": "11511529-6009",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Loa, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.