Active NPI
Jonelle Edwards, CMHC-I
- Mental Health Counselor
- Salt Lake City, UT
National Provider Identifier
1780375493
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 331 S Rio Grande St
Salt Lake City, UT 84101-1136 - Phone
- (801) 485-8051
- NPI assigned
- May 15, 2023
- 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 | Primary |
Addresses
Primary practice location
331 S Rio Grande St
Salt Lake City, UT 84101-1136
Mailing address
278 E Leslie Ave
South Salt Lake, UT 84115-3231
Phone (801) 498-0125
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radiant Moon, PLLC | Mental Health | Past | Accepting new patients |
| One- Eighty Out LLC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- S Salt Lake, UT
- NPI 1114517943
-
- Mental Health Counselor
- Midvale, UT
- NPI 1811651938
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684108800000",
"number": "1780375493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "278 E LESLIE AVE",
"city": "SOUTH SALT LAKE",
"state": "UT",
"postal_code": "841153231",
"telephone_number": "801-498-0125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "331 S RIO GRANDE ST",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841011136",
"telephone_number": "801-485-8051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "JONELLE",
"credential": "CMHC-I",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-15",
"last_updated": "2023-05-15",
"certification_date": "2023-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.