MONTE SOLOMON MEMMOTT SSW
NPI 1205928504
Counselor - Mental Health in Provo, UT
About Monte Solomon Memmott Ssw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MONTE SOLOMON MEMMOTT SSW (NPI 1205928504) is an individual mental health provider in Provo, Utah, licensed in Utah (5586544-6004) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2009).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Monte Solomon Memmott Ssw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Monte Memmott reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Provo, UT 84601
- Reassigned Medicare billing, Utah enrollment
- 141 clinicians in this Medicare group
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.
PROVO, UT 84601
PROVO, UT 84601
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 Monte Memmott's NPI number?
The NPI number for Monte Memmott is 1205928504. It was assigned to this individual provider in the NPPES registry on September 28, 2006.
Where is Monte Memmott located?
Monte Memmott practices at 750 N Freedom Blvd, Provo, UT 84601. The listed phone number is (801) 373-4760.
What is Monte Memmott's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Monte Memmott enrolled in Medicare?
Yes. Monte Memmott is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Monte Memmott's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Monte Memmott reassigns Medicare benefits to Wasatch Behavioral Health Special Service District (Provo, 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 Monte Memmott's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Monte Memmott accept?
Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah and Select Health list Monte Memmott 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 Monte Memmott was last updated on May 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Monte Solomon Memmott, SSW · NPI 1205928504
Mental Health provider in Provo, Utah. Individual provider, active in the CMS NPPES registry since September 28, 2006.
## Identity
- **NPI:** 1205928504 (Entity type: Individual)
- **Enumerated:** September 28, 2006
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 5586544-6004 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 750 N FREEDOM BLVD, Provo, UT 84601-1677
- **Phone:** (801) 373-4760
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Wasatch Behavioral Health Special Service District (NPI 1356357115, Provo, UT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** May 5, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1205928504) · Data from the CMS NPPES public registry.