KAITLIN LONGFELLOW CMHC
NPI 1659995553
Counselor - Mental Health in West Valley, UT

Active since June 05, 2020PECOS EnrolledAccepts Medicare Assignment
2655 S LAKE ERIE DR, WEST VALLEY, UT 84120(385) 441-4900 Get Directions Write a Review

NPPES record last updated: December 5, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 5, 2022, Jun 5, 2020 (2 updates tracked since 2020).

About Kaitlin Longfellow Cmhc NPPES

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

KAITLIN LONGFELLOW CMHC (NPI 1659995553) is an individual mental health provider in West Valley, Utah, licensed in Utah (11758474-6004) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS and is a graduate of University Of Utah School Of Medicine (2020).

NPPES Registry Identity

NPI1659995553
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKAITLIN LONGFELLOWCredential: CMHC
Location Address2655 S LAKE ERIE DRWest Valley, UT 84120-7350
Mailing Address2655 S Lake Erie DrWest Valley, UT 84120-7350
Sole ProprietorYes
Medical School CMSUniversity Of Utah School Of MedicineGraduated 2020
Enumeration DateJune 5, 2020
Last NPPES UpdateDecember 5, 20222 updates tracked since enumeration
NPPES CertifiedDecember 5, 2022
NPI 1659995553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses Licensed in UT · 11758474-6004 Licensed in UT · 11758474-6009
2655 S LAKE ERIE DR, West Valley, UT 84120

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 and accepts Medicare assignment

Kaitlin Longfellow Cmhc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID547790362
PECOS Enrollment IDI20250210001493
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 20

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

Counselor (Mental Health)
2655 S LAKE ERIE DR
WEST VALLEY, UT 84120
Counselor (Mental Health)
2655 S LAKE ERIE DR
WEST VALLEY, UT 84120
Community Health Worker
2655 S LAKE ERIE DR
WEST VALLEY CITY, UT 84120
Respite Care
2655 S LAKE ERIE DR
WEST VALLEY, UT 84120
Social Worker (Clinical)
2655 S LAKE ERIE DR
WEST VALLEY CITY, UT 84120
Counselor (Mental Health)
2655 S LAKE ERIE DR
WEST VALLEY CITY, UT 84120
Social Worker (Clinical)
2655 S LAKE ERIE DR
WEST VALLEY, UT 84120
Social Worker (Clinical)
2655 S LAKE ERIE DR
WEST VALLEY CITY, UT 84120

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 Kaitlin Longfellow's NPI number?

The NPI number for Kaitlin Longfellow is 1659995553. It was assigned to this individual provider in the NPPES registry on June 5, 2020.

Where is Kaitlin Longfellow located?

Kaitlin Longfellow practices at 2655 S Lake Erie Dr, West Valley, UT 84120. The listed phone number is (385) 441-4900.

What is Kaitlin Longfellow's specialty?

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

Is Kaitlin Longfellow enrolled in Medicare?

Yes. Kaitlin Longfellow is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kaitlin Longfellow accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Providence Health Plan, Regence BlueCross BlueShield of Utah and Select Health and 1 other insurer list Kaitlin Longfellow 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 Kaitlin Longfellow was last updated on December 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.