COURTNEY VANDERMYDEN
NPI 1003573338
Counselor - Mental Health in West Valley, UT
About Courtney Vandermyden NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COURTNEY VANDERMYDEN (NPI 1003573338) is an individual mental health provider in West Valley, Utah and active in the NPI registry since November 2021. She has opted out of Medicare through April 23, 2028.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Courtney Vandermyden has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 23, 2024 through April 23, 2028.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Courtney Vandermyden's NPI number?
The NPI number for Courtney Vandermyden is 1003573338. It was assigned to this individual provider in the NPPES registry on November 22, 2021.
Where is Courtney Vandermyden located?
Courtney Vandermyden practices at 2655 S Lake Erie Dr, West Valley, UT 84120. The listed phone number is (385) 441-4900.
What is Courtney Vandermyden's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Courtney Vandermyden enrolled in Medicare?
No. Courtney Vandermyden has opted out of Medicare through April 23, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Courtney Vandermyden was last updated on November 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Courtney Vandermyden · NPI 1003573338
Mental Health provider in West Valley, Utah. Individual provider, active in the CMS NPPES registry since November 22, 2021.
## Identity
- **NPI:** 1003573338 (Entity type: Individual)
- **Enumerated:** November 22, 2021
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** No
## Practice location
- **Address:** 2655 S LAKE ERIE DR, West Valley, UT 84120-7350
- **Phone:** (385) 441-4900
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through April 23, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** November 22, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1003573338) · Data from the CMS NPPES public registry.