TRAE MENDENHALL
NPI 1275306284
Psychologist in Ogden, UT

Active since November 01, 2023PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: November 1, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Trae Mendenhall NPPES

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

TRAE MENDENHALL (NPI 1275306284) is an individual psychologist in Ogden, Utah and active in the NPI registry since November 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1275306284
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameTRAE MENDENHALL
Location Address237 26TH STOgden, UT 84401-3105
Mailing Address237 26th StOgden, UT 84401-3105 · (801) 625-3700
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateNovember 1, 2023
NPPES CertifiedNovember 1, 2023
✔ NPI 1275306284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
237 26TH ST, Ogden, UT 84401

Other Identifiers 3

Other000055266UT · Medicare Pin
Medicaid8760003008007UT
Other260022408UT · Railroad Medicare

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

Trae Mendenhall 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.

PECOS PAC ID6305284290
PECOS Enrollment IDI20240411001019
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 Trae Mendenhall reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health (Including Community Mental Health Center)
237 26TH STREET
Ogden, UT 84401
  • Reassigned Medicare billing, Utah enrollment
  • 70 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.

Registered Nurse (Psychiatric/Mental Health, Adult)
237 26TH ST
OGDEN, UT 84401
Counselor (Professional)
237 26TH ST
OGDEN, UT 84401
Case Manager/Care Coordinator
237 26TH ST
OGDEN, UT 84401
Case Manager/Care Coordinator
237 26TH ST
OGDEN, UT 84401
Registered Nurse (Psychiatric/Mental Health)
237 26TH ST
OGDEN, UT 84401
Community Health Worker
237 26TH ST
OGDEN, UT 84401
Case Management
237 26TH ST
OGDEN, UT 84401
Counselor (Professional)
237 26TH ST
OGDEN, UT 84401

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 Trae Mendenhall's NPI number?

The NPI number for Trae Mendenhall is 1275306284. It was assigned to this individual provider in the NPPES registry on November 1, 2023.

Where is Trae Mendenhall located?

Trae Mendenhall practices at 237 26th St, Ogden, UT 84401. The listed phone number is (801) 625-3700.

What is Trae Mendenhall's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Trae Mendenhall enrolled in Medicare?

Yes. Trae Mendenhall 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 Trae Mendenhall's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Trae Mendenhall reassigns Medicare benefits to Weber Human Services (Ogden, 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 Trae Mendenhall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Trae Mendenhall accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah and Select Health list Trae Mendenhall 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 Trae Mendenhall was last updated on November 1, 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.