Active NPI
Kenneth John Hopps, PH.D.
- Counseling Psychologist
- Salt Lake City, UT
National Provider Identifier
1265404032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 117202501
- Practice address
- 1141 E 3900 S
Suite a-170
Salt Lake City, UT 84124-1215 - Phone
- (801) 270-6534
- Fax
- (801) 284-4991
- NPI assigned
- Feb 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 117202501 | UT | Primary |
Addresses
Primary practice location
1141 E 3900 S
Suite a-170
Salt Lake City, UT 84124-1215
Mailing address
4487 Arcadia LN
Holladay, UT 84124-3507
Phone (801) 277-7099
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 261747 | Other | UT | DMBA |
| 107011572101 | Other | UT | IHC |
| 942938348HO6 | Other | UT | EDUCATOR'S MUTUAL |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 117202501 | UT | MD | Counseling Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Mental Health Incorporated | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Psychiatry Physician
- Salt Lake City, UT
- NPI 1124085170
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344384000000",
"number": "1265404032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4487 ARCADIA LN",
"city": "HOLLADAY",
"state": "UT",
"postal_code": "841243507",
"telephone_number": "801-277-7099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1141 E 3900 S",
"address_2": "SUITE A-170",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841241215",
"telephone_number": "801-270-6534",
"fax_number": "801-284-4991"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOPPS",
"first_name": "KENNETH",
"middle_name": "JOHN",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-06",
"last_updated": "2012-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "UT",
"license": "117202501",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMBA",
"identifier": "261747",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IHC",
"identifier": "107011572101",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EDUCATOR'S MUTUAL",
"identifier": "942938348HO6",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.