Active NPI
Kaitlin Huckaby, LCMHC
- Mental Health Counselor
- Midvale, UT
National Provider Identifier
1114599537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 613 E Fort Union Blvd Ste 104
Midvale, UT 84047-5531 - Phone
- (801) 984-1717
- Fax
- (801) 984-1720
- NPI assigned
- Jul 14, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
613 E Fort Union Blvd Ste 104
Midvale, UT 84047-5531
Mailing address
613 E Fort Union Blvd Ste 104
Midvale, UT 84047-5531
Phone (801) 984-1717
Other practice location 1
150 S 400 E
American Fork, UT 84003-2510
Phone (801) 980-7222
Other practice location 2
8153 S 4800 W
West Jordan, UT 84088-4703
Phone (801) 984-1717
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Life Stone Group, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Midvale, UT
- NPI 1871829283
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764201600000",
"number": "1114599537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "613 E FORT UNION BLVD STE 104",
"city": "MIDVALE",
"state": "UT",
"postal_code": "840475531",
"telephone_number": "801-984-1717",
"fax_number": "801-984-1720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "613 E FORT UNION BLVD STE 104",
"city": "MIDVALE",
"state": "UT",
"postal_code": "840475531",
"telephone_number": "801-984-1717",
"fax_number": "801-984-1720"
}
],
"practiceLocations": [
{
"address_1": "150 S 400 E",
"address_purpose": "LOCATION",
"city": "American Fork",
"state": "UT",
"postal_code": "840032510",
"country_code": "US",
"telephone_number": "801-980-7222",
"fax_number": "801-980-7223",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8153 S 4800 W",
"address_purpose": "LOCATION",
"city": "West Jordan",
"state": "UT",
"postal_code": "840884703",
"country_code": "US",
"telephone_number": "801-984-1717",
"fax_number": "801-984-1720",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HUCKABY",
"first_name": "KAITLIN",
"credential": "LCMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-14",
"last_updated": "2025-11-27",
"certification_date": "2025-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Midvale, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.