Individual provider Active NPI

Nicole Lloyd

  • Mental Health Counselor
  • Centerville, UT
National Provider Identifier
1841029949
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
11829849-6009 Issued in UT
Practice address
520 N Market Place Dr Ste 200
Centerville, UT 84014-4904
Phone
(801) 934-3373
NPI assigned
Jul 29, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 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 11829849-6009 UT Primary

Addresses

Primary practice location

520 N Market Place Dr Ste 200
Centerville, UT 84014-4904

Mailing address

2025 S Demetro Dr
Clearfield, UT 84015-6297
Phone (801) 712-0466

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
I20250407002953 UT Practitioner - Mental Health Counselor 6406370881 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Davis Psychological ServicesGroup PAC ID 0446511927, 17 clinicians

Practice addresses (Care Compare)

185 S 400
Suite 100
Bountiful, UT 84010-4862
Phone (801) 934-3373

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11829849-6009UTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
South Davis Psychological Services CurrentSince Mar 25, 2025 Accepting new patients
Neurorev PLLC CurrentSince Aug 4, 2024 Accepting new patients

Locations

185 S 400 E
Ste 100
Bountiful, UT 84010
Phone (801) 292-5070

520 N Market Place Dr
Ste 200
Centerville, UT 84014
Phone (801) 243-6822

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1722211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1841029949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 S DEMETRO DR",
            "city": "CLEARFIELD",
            "state": "UT",
            "postal_code": "840156297",
            "telephone_number": "801-712-0466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 N MARKET PLACE DR STE 200",
            "city": "CENTERVILLE",
            "state": "UT",
            "postal_code": "840144904",
            "telephone_number": "801-934-3373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LLOYD",
        "first_name": "NICOLE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-29",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "11829849-6009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centerville, UT

Sources for this page

Verify at the official NPI Registry.