Individual provider Active NPI

Jacqueline Renae Cleghorn, CMHC

  • Mental Health Counselor
  • South Jordan, UT
National Provider Identifier
1942850094
Registry record updated Apr 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
13880104-6004 Issued in UT
Practice address
10434 S 1055 W Ste 201
South Jordan, UT 84095-1522
Phone
(801) 655-5450
NPI assigned
Sep 19, 2019
Last updated
Apr 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2026

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 13880104-6004 UT Primary

Addresses

Primary practice location

10434 S 1055 W Ste 201
South Jordan, UT 84095-1522

Mailing address

1433 N 1200 W
Orem, UT 84057-2449
Phone (801) 655-5450

Other names 1

  • Jacqueline Cleghorn Other name

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
I20260205001877 UT Practitioner - Mental Health Counselor 8123507670 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1433 N 1200
Orem, UT 84057-2449

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13880104-6004UTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Meadowbrook Counseling of Utah LLC Mental Health CurrentSince Jan 19, 2026 Accepting new patients
Imagine Behavioral & Developmental Services PastSince Sep 25, 2019 Accepting new patients

Locations

1433 N 1200 W
Orem, UT 84057
Phone (801) 210-1432

10434 S 1055 W
Ste 201
South Jordan, UT 84095

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1568851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775001600000",
    "number": "1942850094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1433 N 1200 W",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840572449",
            "telephone_number": "801-655-5450",
            "fax_number": "385-225-9327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10434 S 1055 W STE 201",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840951522",
            "telephone_number": "801-655-5450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEGHORN",
        "first_name": "JACQUELINE",
        "middle_name": "RENAE",
        "credential": "CMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-19",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "13880104-6004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "CLEGHORN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in South Jordan, UT

Sources for this page

Verify at the official NPI Registry.