JENNIFER P DUFFIN CMHC
NPI 1457872079
Counselor - Mental Health in Park City, UT

Active since July 05, 2017Opted out of Medicare · through Jul 15, 2027
2700 HOMESTEAD RD STE 210, PARK CITY, UT 84098(801) 753-8771(801) 295-2841 Get Directions Write a Review

NPPES record last updated: December 27, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 27, 2025, Jul 5, 2017 (2 updates tracked since 2017).

About Jennifer P Duffin Cmhc NPPES

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

JENNIFER P DUFFIN CMHC (NPI 1457872079) is an individual mental health provider in Park City, Utah, licensed in Utah (10846476-6004) and active in the NPI registry since July 2017. She has opted out of Medicare through July 15, 2027.

NPPES Registry Identity

NPI1457872079
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJENNIFER P DUFFINCredential: CMHC
Location Address2700 HOMESTEAD RD STE 210Park City, UT 84098-4858
Mailing Address3281 N 425 WLehi, UT 84043 · (801) 735-2301
Fax(801) 295-2841
Sole ProprietorYes
Enumeration DateJuly 5, 2017
Last NPPES UpdateDecember 27, 20252 updates tracked since enumeration
NPPES CertifiedDecember 27, 2025
NPI 1457872079 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 · 10846476-6004
2700 HOMESTEAD RD STE 210, Park City, UT 84098

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Jennifer P Duffin Cmhc 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 July 15, 2025 through July 15, 2027.

Opt-Out Effective DateJuly 15, 2025
Opt-Out In Effect ThroughJuly 15, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

Clinic/Center (Mental Health (Including Community Mental Health Center))
2700 HOMESTEAD RD STE 210
PARK CITY, UT 84098

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457872079, enumerated as an "individual" on July 05, 2017.

The provider is located at 2700 HOMESTEAD RD STE 210 PARK CITY, UT 84098 and the phone number is (801) 753-8771.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

The provider might be accepting Accepts: BridgeSpan Health Company, Regence BlueCross. Please consult your insurance carrier or call the provider to verify.