DELORES DORRILL PEACOCK – Mental Health Counselor, NPI 1215310859

DELORES DORRILL PEACOCK is a healthcare provider. based in Meadow, Utah. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. 6508408-6004 (UT). The NPI Number for DELORES DORRILL PEACOCK is 1215310859

Main info

Female
Sole Proprietor
16 Years Of Experience
Accepts Medicare Assignment
Name
DELORES DORRILL PEACOCK
NPI
1215310859
Phone
(435) 418-0088
Address
PO BOX 74
Enumeration Date
1 July 2015
Last Update Date
12 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4352275506
Graduation Year
2010 (16 years ago)
PAC ID
2163737230
Group Practice PAC ID
3476900796
Professional Enrollment ID
I20251008002768
Address ID
UT847908909ST766XX2860301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness85
Years active:10State licenses:1Digital endpointsOther names

356 MENTAL HEALTH COUNSELOR in UT

Provider Addresses for DELORES DORRILL PEACOCK

  • PO BOX 74

    MEADOW, UT 84644

    Phone: (435) 418-0088

    Type: Mailing

  • 20 S MAIN ST STE 1

    FILLMORE, UT 846315504

    Phone: (435) 418-0088

    Type: Location

  • 535 S MAIN ST STE 2

    CEDAR CITY, UT 847203576

    Phone: (435) 418-0088

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-10-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20251008002768IMental Health CounselorUTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84644)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3476900796View full group profile
NameSpecialtyState
Clinical Social WorkerUT
Mental Health CounselorUT
Nurse PractitionerUT
Nurse PractitionerUT

Reviews

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Frequently asked questions

What unique ID ties claims to DELORES DORRILL PEACOCK?
NPI 1215310859 is assigned to DELORES DORRILL PEACOCK under the national enumeration system.
Is DELORES DORRILL PEACOCK active in the national directory?
DELORES DORRILL PEACOCK's public NPI profile is in an active state.
What field does DELORES DORRILL PEACOCK work in?
You can think of DELORES DORRILL PEACOCK as practicing within Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Where is DELORES DORRILL PEACOCK's primary listing?
We display Meadow, Utah because that is what the record indicates for DELORES DORRILL PEACOCK.
How can I contact DELORES DORRILL PEACOCK?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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