Active NPI
Kyung-Ran Koh, CMHC
- Professional Counselor
- Herriman, UT
National Provider Identifier
1124359674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 5486595-6004
- Practice address
- 14943 S Pele LN
Herriman, UT 84096-2093 - Phone
- (801) 368-6212
- Fax
- (801) 221-1042
- NPI assigned
- Jan 22, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 | 5486595-6004 | UT | Primary |
Addresses
Primary practice location
14943 S Pele LN
Herriman, UT 84096-2093
Mailing address
14943 S Pele LN
Herriman, UT 84096-2093
Phone (801) 368-6212
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 |
|---|---|---|---|
| 5486595-6004 | UT | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735603200000",
"number": "1124359674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14943 S PELE LN",
"city": "HERRIMAN",
"state": "UT",
"postal_code": "840962093",
"telephone_number": "801-368-6212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14943 S PELE LN",
"city": "HERRIMAN",
"state": "UT",
"postal_code": "840962093",
"telephone_number": "801-368-6212",
"fax_number": "801-221-1042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOH",
"first_name": "KYUNG-RAN",
"credential": "CMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-01-22",
"last_updated": "2024-12-31",
"certification_date": "2024-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "UT",
"license": "5486595-6004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Herriman, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.