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COTTONWOOD CREEK COUNSELING
NPI 1356826036
Counselor - Mental Health in Midvale, UT

Active since September 28, 2018
7321 S STATE ST STE A, MIDVALE, UT 84047(801) 878-4327(801) 878-9280 Get Directions Write a Review

NPPES record last updated: August 16, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 16, 2022, Sep 28, 2018 (2 updates tracked since 2018).

About Cottonwood Creek Counseling NPPES

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

COTTONWOOD CREEK COUNSELING (NPI 1356826036) is a healthcare organization registered as a mental health in Midvale, Utah and active in the NPI registry since September 2018. The organization lists Jennifer Fairbourn, Lmft, as its authorized official.

NPPES Registry Identity

NPI1356826036
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameJENNIFER FAIRBOURN LMFT, LLC
Location Address7321 S STATE ST STE AMidvale, UT 84047-6105
Mailing Address7321 S State St Ste AMidvale, UT 84047-6105 · (801) 878-4327 · Fax (801) 878-9280
Phone(801) 878-4327
Fax(801) 878-9280
Organization SubpartNo
Authorized OfficialJennifer FairbournLmft · (801) 878-4327
Enumeration DateSeptember 28, 2018
Last NPPES UpdateAugust 16, 20222 updates tracked since enumeration
NPPES CertifiedAugust 16, 2022
✔ NPI 1356826036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
7321 S STATE ST STE A, Midvale, UT 84047
Open in Google Maps ↗

Other Names 1

Doing Business AsCottonwood Creek Counseling

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cottonwood Creek Counseling is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Cottonwood Creek Counseling, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 9 within 10 miles. They are listed nearest first.

Clinicians, nearest first (9)

Jennifer Anderson
Clinical Social Worker
NPI 1538773387
7321 S STATE ST STE A
Midvale, UT 84047
(801) 878-4327
✔ PECOSSame address
Jennifer Fairbourn, MS, LMFT
Marriage and Family Therapist
NPI 1992977383
7321 S STATE ST SUITE A
Midvale, UT 84047
(801) 878-4327
✔ PECOS✔ Accepts MedicareSame address
Susan Fink, CMHC
Mental Health Counselor
NPI 1891143640
7321 SOUTH STATE STREET SUITE A
Midvale, UT 84047
(801) 878-4327
✔ PECOS✔ Accepts MedicareSame address
Kent Larson, L.C.S.W.
Clinical Social Worker
NPI 1073656906
7321 SOUTH STATE STREET SUITE A
Midvale, UT 84047
(801) 878-4327
✔ PECOS✔ Accepts MedicareSame address
Jan Malmberg, LPC
Mental Health Counselor
NPI 1225193998
7321 SOUTH STATE STREET SUITE A
Midvale, UT 84047
(801) 878-4327
✔ PECOS✔ Accepts MedicareSame address
Sloane Smith, LCSW
Clinical Social Worker
NPI 1598734139
7321 SOUTH STATE STREET SUITE A
Midvale, UT 84047
(801) 878-4327
✔ PECOS✔ Accepts MedicareSame address
Patricia Totterer, LCSW
Clinical Social Worker
NPI 1427017581
7321 SOUTH STATE STREET SUITE A
Midvale, UT 84047
(801) 878-4327
✔ PECOS✔ Accepts MedicareSame address
Jeffrey Carr, LCSW
Clinical Social Worker
NPI 1285866509
9500 S 500 W STE 209
Sandy, UT 84070
(801) 419-9832
✔ PECOS2.7 mi
Janette Luna, LCSW
Clinical Social Worker
NPI 1427223601
8541 S REDWOOD RD STE A
West Jordan, UT 84088
(801) 233-8670
✔ PECOS✔ Accepts Medicare2.9 mi

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

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 Jennifer Fairbourn Lmft, LLC's NPI number?

The NPI number for Jennifer Fairbourn Lmft, LLC is 1356826036. It was assigned to this organization in the NPPES registry on September 28, 2018. The provider is doing business as Cottonwood Creek Counseling.

Where is Jennifer Fairbourn Lmft, LLC located?

Jennifer Fairbourn Lmft, LLC is located at 7321 S State St Ste A, Midvale, UT 84047. The listed phone number is (801) 878-4327.

What is Jennifer Fairbourn Lmft, LLC's specialty?

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

Is Jennifer Fairbourn Lmft, LLC enrolled in Medicare?

Yes. Jennifer Fairbourn Lmft, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jennifer Fairbourn Lmft, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 3 Medicare specialties reassign their Medicare billing to Jennifer Fairbourn Lmft, LLC. A 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 the clinician's services. The largest specialties are Clinical Social Worker (6), Mental Health Counselor (2) and Marriage and Family Therapist (1). Of these, 7 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Jennifer Fairbourn Lmft, LLC accept?

Health plans from University of Utah Health Plans list Jennifer Fairbourn Lmft, LLC 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 Jennifer Fairbourn Lmft, LLC was last updated on August 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.