JENNIFER JO MELLUM LMHC
NPI 1396212544
Counselor - Professional in Phoenix, AZ
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
Specialties & Licenses 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jennifer Jo Mellum Lmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jennifer Mellum reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Apache Junction, AZ 85120
- Reassigned Medicare billing, Arizona enrollment
- 87 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 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PHOENIX, AZ 85022
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.
Which organization bills Medicare for Jennifer Mellum's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Mellum reassigns Medicare benefits to Horizon Health And Wellness, Inc. (Apache Junction, AZ). 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 Jennifer Mellum's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jennifer Mellum accept?
Health plans from Blue Cross Blue Shield of Arizona, Blue Cross and Blue Shield of Texas, Cigna HealthCare of Arizona, Inc, Moda Health Plan, Inc. and Providence Health Plan and 1 other insurer 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 18 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.
# Jennifer Jo Mellum, LMHC · NPI 1396212544
Professional provider in Phoenix, Arizona. Individual provider, active in the CMS NPPES registry since October 25, 2018.
## Identity
- **NPI:** 1396212544 (Entity type: Individual)
- **Enumerated:** October 25, 2018
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** LPC22918 (Arizona)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 702 E BELL RD STE 107, Phoenix, AZ 85022-6639
- **Phone:** (602) 482-7311
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Horizon Health And Wellness, Inc. (NPI 1518266428, Apache Junction, AZ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 28, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1396212544) · Data from the CMS NPPES public registry.