AMY DEFOREST EDWARDS ACMHC
NPI 1275949091
Counselor - Mental Health in Slc, UT

Active since July 02, 2014Opted out of Medicare · through Mar 8, 2028
JEWISH FAMILY SERVICE, 1111 E BRICKYARD RD, SUITE 218, SLC, UT 84106(801) 746-4334(801) 746-4337 Get Directions Write a Review

NPPES record last updated: May 17, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Amy Deforest Edwards Acmhc NPPES

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

AMY DEFOREST EDWARDS ACMHC (NPI 1275949091) is an individual mental health provider in Slc, Utah, licensed in Utah (9045126-6009) and active in the NPI registry since July 2014. She has opted out of Medicare through March 8, 2028.

NPPES Registry Identity

NPI1275949091
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameAMY DEFOREST EDWARDSCredential: ACMHC
Location AddressJEWISH FAMILY SERVICE, 1111 E BRICKYARD RD, SUITE 218Slc, UT 84106
Mailing Address939 E 1700 SSalt Lake City, UT 84105-3328
Fax(801) 746-4337
Sole ProprietorYes
Enumeration DateJuly 2, 2014
Last NPPES UpdateMay 17, 2023
NPPES CertifiedMay 17, 2023
NPI 1275949091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in UT · 9045126-6009
JEWISH FAMILY SERVICE, Slc, UT 84106

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Amy Deforest Edwards Acmhc 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 March 8, 2024 through March 8, 2028.

Opt-Out Effective DateMarch 8, 2024
Opt-Out In Effect ThroughMarch 8, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Amy Edwards's NPI number?

The NPI number for Amy Edwards is 1275949091. It was assigned to this individual provider in the NPPES registry on July 2, 2014.

Where is Amy Edwards located?

Amy Edwards practices at Jewish Family Service 1111 E Brickyard Rd, Suite 218, Slc, UT 84106. The listed phone number is (801) 746-4334.

What is Amy Edwards's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Amy Edwards enrolled in Medicare?

No. Amy Edwards has opted out of Medicare through March 8, 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 Amy Edwards was last updated on May 17, 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.