NPIMap

Individual provider Active NPI

Kenneth Lynn Hull, L.P.C.

  • Professional Counselor
  • North Salt Lake, UT
National Provider Identifier
1144559857
Registry record updated Dec 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5021920-6004 Issued in UT
Practice address
1038 W Fox Hollow Dr
North Salt Lake, UT 84054-6008
Phone
(801) 891-0400
Fax
(801) 298-0846
NPI assigned
Dec 9, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 5021920-6004 UT Primary

Addresses

Primary practice location

1038 W Fox Hollow Dr
North Salt Lake, UT 84054-6008

Mailing address

PO Box 540724
North Salt Lake, UT 84054-0724
Phone (801) 891-0400

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

LicenseStateTypeSpecialty
5021920-6004UTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Adolescence to Adulthood Counseling LLC Past Accepting new patients
Adolescence to Adulthood Counseling Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1260316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260316800000",
    "number": "1144559857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 540724",
            "city": "NORTH SALT LAKE",
            "state": "UT",
            "postal_code": "840540724",
            "telephone_number": "801-891-0400",
            "fax_number": "801-298-0846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1038 W FOX HOLLOW DR",
            "city": "NORTH SALT LAKE",
            "state": "UT",
            "postal_code": "840546008",
            "telephone_number": "801-891-0400",
            "fax_number": "801-298-0846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULL",
        "first_name": "KENNETH",
        "middle_name": "LYNN",
        "name_prefix": "Mr.",
        "credential": "L.P.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-09",
        "last_updated": "2009-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "UT",
            "license": "5021920-6004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Salt Lake, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.