Organization Active NPI

KHK MFT

  • Adult Mental Health Clinic/Center
  • Alpine, UT
National Provider Identifier
1215848569
Registry record updated Oct 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
KHK MFT
Practice address
102 W 200 N
Alpine, UT 84004-1364
Phone
(714) 624-3784
NPI assigned
Sep 15, 2026
Last updated
Oct 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2026

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

Authorized official

Name
Kevin Howard Kelly
Title
Owner
Phone
(714) 624-3784

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X NU Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X NU

Addresses

Primary practice location

102 W 200 N
Alpine, UT 84004-1364

Mailing address

102 W 200 N
Alpine, UT 84004-1364
Phone (714) 624-3784

Other identifiers 2

IdentifierTypeStateIssuer
11094508-3902OtherUTUTAH LMFT LICENSE
T3620OtherOROREGON LMFT LICENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1789430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792108800000",
    "number": "1215848569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 W 200 N",
            "city": "ALPINE",
            "state": "UT",
            "postal_code": "840041364",
            "telephone_number": "714-624-3784",
            "fax_number": "801-705-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 W 200 N",
            "city": "ALPINE",
            "state": "UT",
            "postal_code": "840041364",
            "telephone_number": "714-624-3784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHK MFT",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-15",
        "last_updated": "2026-10-16",
        "certification_date": "2026-10-16",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "HOWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-624-3784"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UTAH LMFT LICENSE",
            "identifier": "11094508-3902",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON LMFT LICENSE",
            "identifier": "T3620",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpine, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2026; 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.