Kimi L Endter, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

7026701-3501 Issued in UT

Practice address

437 S Bluff St Ste 302
Saint George, UT 84770-3591

Phone

(435) 634-8848

NPI assigned

Jan 14, 2016

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Paige Marshall Aprn PLLCGroup PAC ID 0446582357, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Red Sands Mental Health PLLC

  dba Red Sands Psychiatry

  • Psychiatric/Mental Health Nurse Practitioner
  • St George, UT
  • NPI 1710544697
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1452729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1083070437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1190",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847711190",
            "telephone_number": "435-319-0039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "437 S BLUFF ST STE 302",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847703591",
            "telephone_number": "435-634-8848"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "321 N Mall Dr",
            "address_2": "Ste I-102",
            "address_purpose": "LOCATION",
            "city": "Saint George",
            "state": "UT",
            "postal_code": "847907302",
            "country_code": "US",
            "telephone_number": "435-319-0039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENDTER",
        "first_name": "KIMI",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-14",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "7026701-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Norman Ence, D.D.S.
• Mark Raynel Ence, D.D.S.
• Nathan Lee Ence
• Encompass Home Health of the West, LLC (Encompass Home Health of Southern Utah)
• Vicki Endsley
• Jillian Endy
• Cole Engemann, PA
• Jacy England
• Micah Sharadin Engle
• Enlightened Counseling Services LLC

• Clinical Social Worker in St George, UT
• Providers in St George, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.