ANDREA MENDENHALL
NPI 1912631094
Marriage & Family Therapist in Syracuse, UT

Q: What is Andrea Mendenhall's NPI number?

The NPI number for Andrea Mendenhall is 1912631094. It was assigned to this individual provider in the NPPES registry on July 13, 2022.

Q: What is Andrea Mendenhall's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Andrea Mendenhall was last updated on July 13, 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.

Active since July 13, 2022PECOS Enrolled

1747 HERITAGE LN STE B101, SYRACUSE, UT 84075(801) 896-0793 Get Directions Write a Review

NPPES record last updated: July 13, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Andrea Mendenhall NPPES

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

ANDREA MENDENHALL (NPI 1912631094) is an individual marriage & family therapist in Syracuse, Utah and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1912631094

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameANDREA MENDENHALL

Location Address1747 HERITAGE LN STE B101Syracuse, UT 84075-8546

Mailing Address2074 W 470 NWest Point, UT 84015-8193 · (801) 668-7171

Phone(801) 896-0793

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateJuly 13, 2022

NPPES CertifiedJuly 13, 2022

✔ NPI 1912631094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

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.

1747 HERITAGE LN STE B101, Syracuse, UT 84075

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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrea Mendenhall is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3274034749

PECOS Enrollment IDI20250827004867

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.

MACIE MIA BURNETT MSW

Social Worker