Individual provider Active NPI

Katelyn Crystal Stocker, CMHC

  • Mental Health Counselor
  • Layton, UT
National Provider Identifier
1164941829
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
137131876004 Issued in UT
Practice address
2363 N Hill Field Rd
Layton, UT 84041-6909
Phone
(801) 525-4645
NPI assigned
Sep 13, 2017
Reactivated
Oct 9, 2025
Last updated
Oct 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 137131876004 UT Primary

Addresses

Primary practice location

2363 N Hill Field Rd
Layton, UT 84041-6909

Mailing address

60 S Main St Unit 441
Layton, UT 84041-3750
Phone (801) 577-5221

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20260604001362 UT Practitioner - Mental Health Counselor 0345711925 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2363 N Hill Field Rd
Suite 5
Layton, UT 84041-6910

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
137131876004UTMDMental Health Counselor

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1505260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1164941829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 S MAIN ST UNIT 441",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840413750",
            "telephone_number": "801-577-5221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2363 N HILL FIELD RD",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840416909",
            "telephone_number": "801-525-4645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOCKER",
        "first_name": "KATELYN",
        "middle_name": "CRYSTAL",
        "name_prefix": "Mrs.",
        "credential": "CMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-13",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "deactivation_date": "2024-10-12",
        "reactivation_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "137131876004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Layton, UT

Sources for this page

Verify at the official NPI Registry.