Ascendant Behavioral Health DBA LifeStance – Clinical Social Worker, NPI 1689128605
Clinical Social Worker
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Ascendant Behavioral Health DBA LifeStance
4617 S Pioneer Rd Ste 101C
St George, UT 847905156
Phone: (018) 725-5168
Fax: (801) 212-9942
Type: Location
13222 Tree Sparrow Dr Ste R210
Riverton, UT 840962889
Phone: (801) 872-5516
Fax: (801) 212-9942
Type: Location
West Maple Loop, Lehi, Utah County, Utah, 84043, United States
SUITE 210
LEHI, UT 84043
Phone: (801) 872-5516
Type: Location
3051 W Maple Loop Dr
Suite 210
Lehi, UT 84043
Phone: (801) 872-5516
Type: Location
PO BOX 671298
DALLAS, TX 752671298
Phone: (801) 872-5516
Fax: (480) 888-9679
Type: Mailing
5965 S 900 E STE 100
MURRAY, UT 841211850
Phone: (801) 872-5516
Fax: (480) 888-9679
Type: Location
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: 2017-01-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-03-31 (799 days ago).
Enrollment records
1
Earliest due date
2024-03-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20170123001085 | O | Clinic/Group Practice | UT | 2024-03-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 84790)
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