1. Home
  2. Directory
  3. Utah
  4. Salt Lake City
  5. Counselor
  6. NPI Profile

MS. CLAIR MELLENTHIN LCSW
NPI 1336275478
Counselor - Mental Health in Salt Lake City, UT

Active since February 25, 2007Opted out of Medicare · through Apr 18, 2028
1308 S 1700 E STE 210, SALT LAKE CITY, UT 84108(801) 949-4524(801) 355-9614 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Clair Mellenthin Lcsw NPPES

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

MS. CLAIR MELLENTHIN LCSW (NPI 1336275478) is an individual mental health provider in Salt Lake City, Utah, licensed in Utah (5228904-3501) and active in the NPI registry since February 2007. She has opted out of Medicare through April 18, 2028.

NPPES Registry Identity

NPI1336275478
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. CLAIR MELLENTHINCredential: LCSW
Location Address1308 S 1700 E STE 210Salt Lake City, UT 84108-2273
Mailing Address1308 S 1700 E Ste 210Salt Lake City, UT 84108-2273 · (801) 949-4524 · Fax (801) 355-9614
Phone(801) 949-4524
Fax(801) 355-9614
Sole ProprietorYes
Enumeration DateFebruary 25, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1336275478 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 · 5228904-3501
1308 S 1700 E STE 210, Salt Lake City, UT 84108
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ms. Clair Mellenthin Lcsw 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 18, 2024 through April 18, 2028.

Opt-Out Effective DateApril 18, 2024
Opt-Out In Effect ThroughApril 18, 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 Clair Mellenthin's NPI number?

The NPI number for Clair Mellenthin is 1336275478. It was assigned to this individual provider in the NPPES registry on February 25, 2007.

Where is Clair Mellenthin located?

Clair Mellenthin practices at 1308 S 1700 E Ste 210, Salt Lake City, UT 84108. The listed phone number is (801) 949-4524.

What is Clair Mellenthin's specialty?

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

Is Clair Mellenthin enrolled in Medicare?

No. Clair Mellenthin has opted out of Medicare through April 18, 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 Clair Mellenthin was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.