Active NPI
Siope Lee Kinikini, CHMC
- Professional Counselor
- Salt Lake City, UT
National Provider Identifier
1003132028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 7170549-6009
- Practice address
- 5800 Highland Dr
Salt Lake City, UT 84121-1359 - Phone
- (801) 272-9980
- Fax
- (801) 272-9976
- NPI assigned
- Apr 15, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 7170549-6009 | UT | Primary |
Addresses
Primary practice location
5800 Highland Dr
Salt Lake City, UT 84121-1359
Mailing address
11777 S Lake Run Rd
South Jordan, UT 84009-8195
Phone (801) 604-3023
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7170549-6009 | UT | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669766400000",
"number": "1003132028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11777 S LAKE RUN RD",
"city": "SOUTH JORDAN",
"state": "UT",
"postal_code": "840098195",
"telephone_number": "801-604-3023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5800 HIGHLAND DR",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841211359",
"telephone_number": "801-272-9980",
"fax_number": "801-272-9976"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINIKINI",
"first_name": "SIOPE",
"middle_name": "LEE",
"name_prefix": "Mr.",
"credential": "CHMC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-04-15",
"last_updated": "2022-11-30",
"certification_date": "2022-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "UT",
"license": "7170549-6009",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.