KMK Family Services, Inc

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6521299-6004 Issued in UT

Legal business name

KMK FAMILY SERVICES, INC

Practice address

5620 S Waterbury Way Ste A206
Salt Lake City, UT 84121-6206

Phone

(801) 201-7050

Fax

(801) 274-0411

NPI assigned

Mar 15, 2018

Organization subpart

No

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

Authorized official

Name

Kathleen Kaloudis, CMHCNPI 1821187261

Title

President

Phone

(801) 201-7050

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kathleen Kaloudis, LCMHC

  • Counselor
  • Salt Lake City, UT
  • NPI 1821187261
  NPD Authorized official

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

{
    "created_epoch": "1521072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521072000000",
    "number": "1184127144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17864",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841170864",
            "telephone_number": "801-201-7050",
            "fax_number": "801-274-0411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5620 S WATERBURY WAY STE A206",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841216206",
            "telephone_number": "801-201-7050",
            "fax_number": "801-274-0411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KMK FAMILY SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-15",
        "last_updated": "2018-03-15",
        "status": "A",
        "authorized_official_last_name": "KALOUDIS",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-201-7050",
        "authorized_official_credential": "CMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "6521299-6004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beckett Klock
• Natascha Marie Klumb
• Sydney Leah Klumb
• Jacob S. Kluver, MD
• Madeleine Kmetzsch
• Elizabeth Doby Knackstedt, M.D.
• Betsy Knapp
• Jason Bartholomew Knapp, DMD
• Keaton Dolyn Knapp, APRN
• Laura D Knapp, P.T.

• Mental Health Counselor in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Mental Health Counselor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2018; 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.