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NPI · 1104764935 · NPPES-sourced

Stacy Pettersson Chmc And Mhc

ActiveMental Health Counselor
NPI Number
1104764935
Type 1 · Individual
Taxonomy Code
101YM0800X
Contact
(801) 336-7624
License UT · 13811151-6004
Last Updated
About 2 months ago (Mar 2026)
Enumerated 2026-03-23
Primary practice addressUT · 84084-1710
3696 W Savannah CirWest Jordan, UT 84084-1710
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About this NPIWhat this record shows.

NPI 1104764935 is registered to Stacy Pettersson Chmc And Mhc, a Mental Health Counselor practising at 3696 W Savannah Cir in West Jordan, Utah. Mental Health Counselor is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Stacy Pettersson Chmc And Mhc has been enumerated in the National Provider Identifier (NPI) registry since 2026.

Provider type
Individual (Type 1)
Status
Active
Enumerated
2026-03-23
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Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Stacy Pettersson Chmc And Mhc accepts. To confirm in-network status with your specific health plan, contact Stacy Pettersson Chmc And Mhc directly at (801) 336-7624.

Frequently asked

Yes. NPI 1104764935 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Mental Health Counselor is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (801) 336-7624.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Stacy Pettersson Chmc And Mhc is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy101YM0800X
Last updated2026-03
Enumerated2026-03-23
StatusActive
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