Individual provider Active NPI

Alexis Kattelman

  • Mental Health Counselor
  • Pleasant Grove, UT
National Provider Identifier
1174372346
Registry record updated May 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
13975213-6009 Issued in UT
Practice address
437 E 1000 S Ste 200
Pleasant Grove, UT 84062-3623
Phone
(801) 921-3619
NPI assigned
May 18, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 13975213-6009 UT Primary

Addresses

Primary practice location

437 E 1000 S Ste 200
Pleasant Grove, UT 84062-3623

Mailing address

437 E 1000 S Ste 200
Pleasant Grove, UT 84062-3623
Phone (801) 921-3619

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
13975213-6009UTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
True Self Counseling Mental Health CurrentSince May 19, 2024 Accepting new patients
Toolbox Counseling Mental Health Current Accepting new patients

Locations

437 E 1000 S
#200
Pleasant Grove, UT 84062
Phone (801) 921-3619

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": "1715990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715990400000",
    "number": "1174372346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "437 E 1000 S STE 200",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840623623",
            "telephone_number": "801-921-3619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "437 E 1000 S STE 200",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840623623",
            "telephone_number": "801-921-3619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATTELMAN",
        "first_name": "ALEXIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-18",
        "last_updated": "2024-05-18",
        "certification_date": "2024-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "13975213-6009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasant Grove, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.

Verify at the official NPI Registry.