Jessiann Bodell
Individual provider Active NPI Mental Health Counselor · Herriman, UT
NPI 1851099253 · NPPES record last updated Feb 16, 2023
Key facts
- NPI
- 1851099253
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- ACMHC (UT)
- Practice address
- 4786 W Cobblefield Dr
Herriman, UT 84096-3503 - Phone
- (801) 448-3286
- NPI assigned
- Feb 16, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2024
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
360 S 670
Suite 100
Lindon, UT 84042-2094
4786 W Cobblefield Dr
Herriman, UT 84096-3503
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260309002522 | UT | Practitioner - Mental Health Counselor | 0941783906 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ACMHC | UT | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arcadia Counseling LLC | Mental Health | Current |
Accepting new patients |
Locations
170 S Interstate Plz
Ste 100
Lehi, UT 84043
Phone (385) 236-4500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | ACMHC | UT | Yes |
Addresses
Primary practice location
4786 W Cobblefield Dr
Herriman, UT 84096-3503
Mailing address
4786 W Cobblefield Dr
Herriman, UT 84096-3503
Phone (801) 448-3286
Other practice location 1
3280 W 3500 S
West Valley City, UT 84119-2668
Phone (801) 979-1351
Other providers in Herriman, UT
- Kelsey Lee Bills
- Angie Rena Blackett
- Carter Blackham
- Heidi Blackham
- Jacob Matthew Blackham
- Rachel Bonell
- Elyse S Borha
- Shelby Sue Bowman
- Brian Keith Braegger
- Jennifer Branin
All providers in Herriman, UT · Mental Health Counselor in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 16, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.