Jessiann Bodell

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

ACMHC Issued in UT

Practice address

4786 W Cobblefield Dr
Herriman, UT 84096-3503

Phone

(801) 448-3286

NPI assigned

Feb 16, 2023

Last updated

Feb 16, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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

Specialty

Mental Health Counselor

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Arcadia Counseling LLC

  • Marriage & Family Therapist
  • Lehi, UT
  • NPI 1801478664

  Mental Health

  Medicare reassignment NPD

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

{
    "created_epoch": "1676505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676505600000",
    "number": "1851099253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4786 W COBBLEFIELD DR",
            "city": "HERRIMAN",
            "state": "UT",
            "postal_code": "840963503",
            "telephone_number": "801-448-3286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4786 W COBBLEFIELD DR",
            "city": "HERRIMAN",
            "state": "UT",
            "postal_code": "840963503",
            "telephone_number": "801-448-3286"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3280 W 3500 S",
            "address_purpose": "LOCATION",
            "city": "West Valley City",
            "state": "UT",
            "postal_code": "841192668",
            "country_code": "US",
            "telephone_number": "801-979-1351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BODELL",
        "first_name": "JESSIANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-16",
        "last_updated": "2023-02-16",
        "certification_date": "2023-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "ACMHC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angie Rena Blackett, RN, CPM, LDEM
• Carter Blackham
• Heidi Blackham, CCC-SLP
• Jacob Matthew Blackham
• Blue Skies Counseling
• Rachel Bonell
• Elyse S Borha, BSN, MSN, FNP-BC
• Shelby Sue Bowman, NP
• Brian Keith Braegger, PHARM.D
• Jennifer Branin

• Mental Health Counselor in Herriman, UT
• Providers in Herriman, UT by specialty
• Mental Health Counselor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; 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.

Verify at the official NPI Registry.