Active NPI
Jodi Renae Montgomery
- Mental Health Counselor
- Clearfield, UT
National Provider Identifier
1942472196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 1436 S Legend Hills Dr Ste 335
Clearfield, UT 84015-2187 - Phone
- (801) 444-1003
- NPI assigned
- Mar 27, 2008
- Sex
- Female
- Sole proprietor
- Yes
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
1436 S Legend Hills Dr Ste 335
Clearfield, UT 84015-2187
Mailing address
611 Crestwood Rd
Kaysville, UT 84037-1709
Phone (801) 866-8984
Other names 1
- Jodi Renae Makela
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2007
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
611 Crestwood Rd
Kaysville, UT 84037-1709
PO Box
Suite 1173
Salem, UT 84653
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montgomery Christian Counseling, LLC | Mental Health | Current | Accepting new patients |
Locations
1436 S Legend Hills Dr
Ste 335
Clearfield, UT 84015
Phone (801) 444-1003
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 and National Provider Directory roles.
-
- Mental Health Counselor
- Clearfield, UT
- NPI 1346034477
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744156800000",
"number": "1942472196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 CRESTWOOD RD",
"city": "KAYSVILLE",
"state": "UT",
"postal_code": "840371709",
"telephone_number": "801-866-8984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1436 S LEGEND HILLS DR STE 335",
"city": "CLEARFIELD",
"state": "UT",
"postal_code": "840152187",
"telephone_number": "801-444-1003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTGOMERY",
"first_name": "JODI",
"middle_name": "RENAE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-27",
"last_updated": "2025-04-09",
"certification_date": "2025-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JODI",
"last_name": "MAKELA",
"middle_name": "RENAE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Clearfield, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; 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.