Individual provider Active NPI

Kenneth John Hopps, PH.D.

  • Counseling Psychologist
  • Salt Lake City, UT
National Provider Identifier
1265404032
Registry record updated Aug 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
117202501 Issued in UT
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

Updated by the provider on Aug 8, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
261747OtherUTDMBA
107011572101OtherUTIHC
942938348HO6OtherUTEDUCATOR'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

LicenseStateTypeSpecialty
117202501UTMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.