Jordan West Family Counseling Inc - Medicare Mental Health Clinic in West Jordan, UT

Jordan West Family Counseling Inc is a medicare enrolled mental health clinic (Clinic/center - Mental Health (including Community Mental Health Center)) in West Jordan, Utah. The current practice location for Jordan West Family Counseling Inc is 9263b Redwood Rd, West Jordan, Utah. For appointments, you can reach them via phone at (801) 566-0749. The mailing address for Jordan West Family Counseling Inc is 9263b Redwood Rd, West Jordan, Utah and phone number is (801) 566-0749.

Jordan West Family Counseling Inc is licensed to practice in Utah (license number 52044). The clinic also participates in the medicare program and its NPI number is 1508811480. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (801) 566-0749.

Contact Information

Jordan West Family Counseling Inc
9263b Redwood Rd
West Jordan
UT 84088
(801) 566-0749
(801) 566-7108

Mental Health Clinic Profile

Full NameJordan West Family Counseling Inc
SpecialityClinic/Center
Location9263b Redwood Rd, West Jordan, Utah
Authorized Official Name and PositionBetty J. Owen (CLINICAL DIRECTOR)
Authorized Official Contact8015660749
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jordan West Family Counseling Inc
9263b Redwood Rd
West Jordan
UT 84088-6571

Ph: (801) 566-0749
Jordan West Family Counseling Inc
9263b Redwood Rd
West Jordan
UT 84088

Ph: (801) 566-0749

NPI Details:

NPI Number1508811480
Provider Enumeration Date05/22/2006
Last Update Date06/19/2018

Medicare PECOS Information:

Medicare PECOS PAC ID4688629439
Medicare Enrollment IDO20050315000598

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Medical Identifiers

Medical identifiers for Jordan West Family Counseling Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508811480NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QM0801XClinic/center - Mental Health (including Community Mental Health Center) 52044 (Utah)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Jordan West Family Counseling Inc acts as a billing entity for following providers:
Provider NameBetty Owen
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1295877512
PECOS PAC ID: 3375533656
Enrollment ID: I20040518000089

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Provider NameKendall G Lowe
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1558306506
PECOS PAC ID: 6608847678
Enrollment ID: I20040806001055

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