TIMOTHY CHAMPLIN
NPI 1760926901
Social Worker - Clinical in Centerville, UT
About Timothy Champlin NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TIMOTHY CHAMPLIN (NPI 1760926901) is an individual clinical provider in Centerville, Utah, licensed in Utah (9832512-3501) and active in the NPI registry since December 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Timothy Champlin 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.
Medicare Billing Reassignments
2Medicare enrollment records show Timothy Champlin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Centerville, UT 84014
- Reassigned Medicare billing, Utah enrollment
- 21 clinicians in this Medicare group
Salt Lake City, UT 84121
- Reassigned Medicare billing, Utah enrollment
- Medicare enrollment name: Valley Behavioral Health Incorporated
- 118 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 84014 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
CENTERVILLE, UT 84014
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 Timothy Champlin's NPI number?
The NPI number for Timothy Champlin is 1760926901. It was assigned to this individual provider in the NPPES registry on December 7, 2016.
Where is Timothy Champlin located?
Timothy Champlin practices at 520 N Market Place Dr Ste 200, Centerville, UT 84014. The listed phone number is (801) 934-3373.
What is Timothy Champlin's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Timothy Champlin enrolled in Medicare?
Yes. Timothy Champlin 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.
Which organizations bill Medicare for Timothy Champlin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Champlin reassigns Medicare benefits to 2 organizations: South Davis Psychological Services (Centerville, UT) and Valley Mental Health Incorporated (Salt Lake City, UT). Each 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 Timothy Champlin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Timothy Champlin accept?
Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Timothy Champlin 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 Timothy Champlin was last updated on January 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Timothy Champlin · NPI 1760926901
Clinical provider in Centerville, Utah. Individual provider, active in the CMS NPPES registry since December 7, 2016.
## Identity
- **NPI:** 1760926901 (Entity type: Individual)
- **Enumerated:** December 7, 2016
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 9832512-3501 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 520 N MARKET PLACE DR STE 200, Centerville, UT 84014-4904
- **Phone:** (801) 934-3373
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): South Davis Psychological Services (NPI 1386142396, Centerville, UT); Valley Mental Health Incorporated (NPI 1275599797, Salt Lake City, UT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** January 19, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1760926901) · Data from the CMS NPPES public registry.