Individual provider Active NPI

Giovanni Mercado

  • Mental Health Counselor
  • Lindon, UT
National Provider Identifier
1730912072
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
128512276004 Issued in UT
Practice address
360 S 670 W
Suite 100
Lindon, UT 84042
Phone
(385) 246-4500
NPI assigned
Aug 22, 2024
Last updated
Aug 22, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 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 128512276004 UT Primary

Addresses

Primary practice location

360 S 670 W
Suite 100
Lindon, UT 84042

Mailing address

170 S 1200 E Ste 100
Lehi, UT 84043-8601
Phone (385) 236-4500

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
I20241121003796 UT Practitioner - Mental Health Counselor 4183159585 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arcadia Counseling LLCGroup PAC ID 9335672955, 25 clinicians

Practice addresses (Care Compare)

170 S Interstate PLZ
Suite 100
Lehi, UT 84043-8601
Phone (385) 236-4500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
128512276004UTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Arcadia Counseling LLC Mental Health CurrentSince Sep 20, 2024 Accepting new patients

Locations

170 S Interstate Plz
Ste 100
Lehi, UT 84043
Phone (385) 236-4500

360 S 670 W
Ste 100
Lindon, UT 84042
Phone (385) 236-4500

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, 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": "1724284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1730912072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 S 1200 E STE 100",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840438601",
            "telephone_number": "385-236-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 S 670 W",
            "address_2": "SUITE 100",
            "city": "LINDON",
            "state": "UT",
            "postal_code": "84042",
            "telephone_number": "385-246-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCADO",
        "first_name": "GIOVANNI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-22",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "128512276004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lindon, UT

Sources for this page

Verify at the official NPI Registry.