DR. KAYLA MENNENGA PH.D. - NPI 1699128967 - Marriage & Family Therapist in Provo, UT

Q: What is Kayla Mennenga's NPI number?

The NPI number for Kayla Mennenga is 1699128967. It was assigned to this individual provider in the NPPES registry on July 21, 2016.

Q: What is Kayla Mennenga's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: Is Kayla Mennenga enrolled in Medicare?

No. Kayla Mennenga has opted out of Medicare through February 16, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Kayla Mennenga was last updated on May 19, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. Kayla Mennenga Ph.d. NPPES

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

DR. KAYLA MENNENGA PH.D. (NPI 1699128967) is an individual marriage & family therapist in Provo, Utah, licensed in Washington (MG 60501892) and active in the NPI registry since July 2016. She has opted out of Medicare through February 16, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1699128967

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameDR. KAYLA MENNENGACredential: PH.D.

Location Address1675 N FREEDOM BLVD STE 10BProvo, UT 84604-6906

Mailing Address1675 N Freedom Blvd Ste 10bProvo, UT 84604-6906 · (801) 900-6056

Phone(801) 900-6056

Sole ProprietorNo

Enumeration DateJuly 21, 2016

Last NPPES UpdateMay 19, 20222 updates tracked since enumeration

NPPES CertifiedMay 19, 2022

✔ NPI 1699128967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in WA · MG 60501892

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

1675 N FREEDOM BLVD STE 10B, Provo, UT 84604

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Dr. Kayla Mennenga Ph.d. 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 February 16, 2024 through February 16, 2028.

Opt-Out Effective DateFebruary 16, 2024

Opt-Out In Effect ThroughFebruary 16, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 7

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

MR. MARK L BARNEY DPT

Physical Therapist