Lesley Anne Stout, CMHC in Farmington, UT - Medicare Counselor Provider

Lesley Anne Stout, CMHC is a medicare enrolled "Counselor - Mental Health" provider in Farmington, Utah. Her current practice location is 1433 N 1075 W Ste 120, Farmington, Utah. You can reach out to her office (for appointments etc.) via phone at (385) 219-4980.

Lesley Anne Stout is licensed to practice in Utah (license number 9484395-6004) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1891251021.

Contact Information

	Lesley Anne Stout, CMHC
	1433 N 1075 W Ste 120, Farmington, UT 84025-2746
	(385) 219-4980
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Lesley Anne Stout
Gender	Female
Speciality	Counselor - Mental Health
Location	1433 N 1075 W Ste 120, Farmington, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1891251021
Provider Enumeration Date: 02/12/2019
Last Update Date: 06/18/2024

Medicare PECOS Information:

PECOS PAC ID: 5496286361
Enrollment ID: I20241002002394

Medical Identifiers

Medical identifiers for Lesley Anne Stout such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891251021	NPI	-	NPPES
9484395-6004	Other	UT	CMHC LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	9484395-6009 (Utah)	Secondary
101YM0800X	Counselor - Mental Health	9484395-6004 (Utah)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Lesley Anne Stout allows following entities to bill medicare on her behalf.

Entity Name	Emma Mansour
Entity Type	Practitioner - Clinical Psychologist
Entity Identifiers	NPI Number: 1043611486 PECOS PAC ID: 3072733047 Enrollment ID: I20140926000341

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lesley Anne Stout is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Lesley Anne Stout, CMHC 523 Hidden Meadow Way, Farmington, UT 84025-4010 Ph: (480) 292-2949	Lesley Anne Stout, CMHC 1433 N 1075 W Ste 120, Farmington, UT 84025-2746 Ph: (385) 219-4980

Reviews and Comments

Counselor in Farmington, UT

Mrs. Mikelle Lynne Timmons, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 72 E 500 N, Farmington, UT 84025 Phone: 385-367-4330
Mr. Dwight David Hurst, CPCI Counselor Medicare: Not Enrolled in Medicare Practice Location: 1466 N Highway 89 Ste 220, Farmington, UT 84025 Phone: 801-451-0475
Lisa Welling, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 961 W Willow Garden Paseo, Farmington, UT 84025 Phone: 707-280-4448
Brianna M Holmes, ACMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 172 N East Promontory Ste 270, Farmington, UT 84025 Phone: 801-382-8238
Lauren Kofford Ford, Counselor Medicare: Not Enrolled in Medicare Practice Location: 384 Spencer Way, Farmington, UT 84025 Phone: 801-360-0789
Gwendolynn Skeen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 172 N East Promontory Ste 270, Farmington, UT 84025 Phone: 801-382-8238 Fax: 866-560-4702
Clifford S Woodall, BCBA, SSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 240 N East Promontory Ste 200, Farmington, UT 84025 Phone: 385-245-2151 Fax: 801-255-5131

Lesley Anne Stout, CMHC - Medicare Counselor in Farmington, UT