IVANA MICIC
NPI 1801238431
Counselor - Mental Health in Salt Lake City, UT
About Ivana Micic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
IVANA MICIC (NPI 1801238431) is an individual mental health provider in Salt Lake City, Utah, licensed in Utah (9424937-3501) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
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)
Ivana Micic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Ivana Micic reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Salt Lake City, UT 84107
- Reassigned Medicare billing, Utah enrollment
- 11 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SALT LAKE CITY, UT 84111
SLC, UT 84111
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 Ivana Micic's NPI number?
The NPI number for Ivana Micic is 1801238431. It was assigned to this individual provider in the NPPES registry on July 24, 2013.
Where is Ivana Micic located?
Ivana Micic practices at 150 E 700 S Project Reality, Salt Lake City, UT 84111. The listed phone number is (801) 364-8080.
What is Ivana Micic's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Ivana Micic enrolled in Medicare?
Yes. Ivana Micic is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Ivana Micic's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ivana Micic reassigns Medicare benefits to Project Reality (Salt Lake City, UT). 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 Ivana Micic's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ivana Micic accept?
Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah and Select Health list Ivana Micic 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 Ivana Micic was last updated on June 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Ivana Micic · NPI 1801238431
Mental Health provider in Salt Lake City, Utah. Individual provider, active in the CMS NPPES registry since July 24, 2013.
## Identity
- **NPI:** 1801238431 (Entity type: Individual)
- **Enumerated:** July 24, 2013
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 9424937-3501 (Utah)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 150 E 700 S, PROJECT REALITY, Salt Lake City, UT 84111-3806
- **Phone:** (801) 364-8080
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Project Reality (NPI 1134211626, Salt Lake City, UT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 22, 2022
---
Source: [NPI Profile](https://npiprofile.com/npi/1801238431) · Data from the CMS NPPES public registry.