JENNIFER JO MELLUM LMHC
NPI 1396212544
Counselor - Professional in Phoenix, AZ

Active since October 25, 2018PECOS Enrolled
702 E BELL RD STE 107, PHOENIX, AZ 85022(602) 482-7311 Get Directions Write a Review

NPPES record last updated: April 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 10, 2021, Jun 5, 2019, Oct 25, 2018 (3 updates tracked since 2018).

About Jennifer Jo Mellum Lmhc NPPES

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

JENNIFER JO MELLUM LMHC (NPI 1396212544) is an individual professional provider in Phoenix, Arizona, licensed in Arizona (LPC22918) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396212544
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJENNIFER JO MELLUMCredential: LMHC
Location Address702 E BELL RD STE 107Phoenix, AZ 85022-6639
Mailing Address28923 N 124th GlnPeoria, AZ 85383-0366 · (808) 463-2765
Sole ProprietorYes
Enumeration DateOctober 25, 2018
Last NPPES UpdateApril 28, 20253 updates tracked since enumeration
NPPES CertifiedApril 28, 2025
NPI 1396212544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in AZ · LPC22918
Also ListedCounselorTaxonomy 101Y00000X · License 60899386 (WA)
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License LH61109476 (WA)
702 E BELL RD STE 107, Phoenix, AZ 85022

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jennifer Jo Mellum Lmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Federally Qualified Health Center (FQHC))
702 E BELL RD STE 107
PHOENIX, AZ 85022
Clinic/Center (Mental Health (Including Community Mental Health Center))
702 E BELL RD STE 107
PHOENIX, AZ 85022

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 Mellum's NPI number?

The NPI number for Jennifer Mellum is 1396212544. It was assigned to this individual provider in the NPPES registry on October 25, 2018.

Where is Jennifer Mellum located?

Jennifer Mellum practices at 702 E Bell Rd Ste 107, Phoenix, AZ 85022. The listed phone number is (602) 482-7311.

What is Jennifer Mellum's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Jennifer Mellum enrolled in Medicare?

Yes. Jennifer Mellum is registered in the Medicare PECOS enrollment system.

What insurance does Jennifer Mellum accept?

Health plans from Blue Cross Blue Shield of Arizona, Blue Cross and Blue Shield of Texas, Oscar Health Plan, Inc. and UnitedHealthcare list Jennifer Mellum 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 Mellum was last updated on April 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.