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JESSICA SHADE
NPI 1134587264
Counselor in Salt Lake City, UT

Active since February 03, 2016PECOS Enrolled
4460 S HIGHLAND DR, #230, SALT LAKE CITY, UT 84124(888) 949-4864 Get Directions Write a Review

NPPES record last updated: February 3, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jessica Shade NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA SHADE (NPI 1134587264) is an individual counselor in Salt Lake City, Utah and active in the NPI registry since February 2016. She is enrolled in Medicare PECOS and is a graduate of University Of Utah School Of Medicine (2020).

NPPES Registry Identity

NPI1134587264
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameJESSICA SHADE
Location Address4460 S HIGHLAND DR, #230Salt Lake City, UT 84124-3543
Mailing Address4460 S Highland Dr, #230Salt Lake City, UT 84124-3543 · (888) 949-4864
Phone(888) 949-4864
Sole ProprietorNo
Medical School CMSUniversity Of Utah School Of MedicineGraduated 2020
Enumeration DateFebruary 3, 2016
✔ NPI 1134587264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
4460 S HIGHLAND DR, Salt Lake City, UT 84124
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health, University of Utah Health Plans.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Shade is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3173082153
PECOS Enrollment IDI20260829000778
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jessica Shade reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Beehive Mental Health LLC
3.7 mi
Clinical
7070 S UNION PARK AVE
Midvale, UT 84047
  • Reassigned Medicare billing, Utah enrollment
  • 34 clinicians in this Medicare group
NPI 1912787870 (801) 405-7450

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

TRACY VERSLUIS
Counselor
4460 S HIGHLAND DR, 230
SALT LAKE CITY, UT 84124
Salt Lake County (888) 949-4864
ALICIA VIGIL
Counselor
4460 S HIGHLAND DR, #230
SALT LAKE CITY, UT 84124
Salt Lake County (888) 949-4864
LEVI ERNEST
Counselor
4460 S HIGHLAND DR, SUITE 230
SLC, UT 84124
Salt Lake County (888) 949-4864
MRS. LACEY RENEE CONNER
Behavior Analyst
4460 S HIGHLAND DR
SALT LAKE CITY, UT 84124
Salt Lake County (888) 949-4864
CRYSTAL MARSHALL APRN
Nurse Practitioner (Psychiatric/Mental Health)
4460 S HIGHLAND DR
SALT LAKE CITY, UT 84124
Salt Lake County (888) 949-4864
MARINA TORRES
Registered Nurse
4460 S HIGHLAND DR
SALT LAKE CITY, UT 84124
Salt Lake County (888) 949-4864
TAMMY LEANN VARCO CMHC
Counselor (Mental Health)
4460 S HIGHLAND DR, #230
SALT LAKE CITY, UT 84124
Salt Lake County (888) 949-4864
KAYLUM JAMES PALETTA
Counselor (Mental Health)
4460 S HIGHLAND DR
SALT LAKE CITY, UT 84124
Salt Lake County (888) 949-4864

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 Jessica Shade's NPI number?

The NPI number for Jessica Shade is 1134587264. It was assigned to this individual provider in the NPPES registry on February 3, 2016.

Where is Jessica Shade located?

Jessica Shade practices at 4460 S Highland Dr #230, Salt Lake City, UT 84124. The listed phone number is (888) 949-4864.

What is Jessica Shade's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Jessica Shade enrolled in Medicare?

Yes. Jessica Shade is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jessica Shade's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Shade reassigns Medicare benefits to Beehive Mental Health LLC (Midvale, UT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jessica Shade's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jessica Shade accept?

Health plans from Select Health and University of Utah Health Plans list Jessica Shade as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jessica Shade was last updated on February 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.