Individual provider Active NPI

Christopher D. Keil, SSW

  • Mental Health Counselor
  • Price, UT
National Provider Identifier
1306154364
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
10135521-6009 Issued in UT
Practice address
77 South 600 East
Price, UT 84501-3102
Phone
(435) 637-4247
Fax
(435) 637-6465
NPI assigned
Sep 23, 2010
Last updated
May 1, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 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 10135521-6009 UT Primary

Addresses

Primary practice location

77 South 600 East
Price, UT 84501-3102

Mailing address

PO Box 867
105 West 100 North
Price, UT 84501
Phone (435) 637-7200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240329002592 UT Practitioner - Mental Health Counselor 5991143760 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

125 S Main
Helper Clinic
Helper, UT 84526-1535
Phone (435) 472-7000

92 N 400
Suite 1
Price, UT 84501-2509
Phone (435) 637-6338

PO Box
Suite 460
Sunnyside, UT 84539

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10135521-6009UTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Carbon Medical Service Association, Incorporated Current Accepting new patients
Carbon Medical Service Association Incorporated CurrentSince Feb 13, 2024 Accepting new patients
Carbon Medical Service Association, Incorporated Past Accepting new patients

Locations

125 S Main St
Helper, UT 84526
Phone (435) 472-7000

92 N 400 E
Ste 1
Price, UT 84501
Phone (435) 637-6338

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1285200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1306154364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 867",
            "address_2": "105 WEST 100 NORTH",
            "city": "PRICE",
            "state": "UT",
            "postal_code": "84501",
            "telephone_number": "435-637-7200",
            "fax_number": "435-637-2377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 SOUTH 600 EAST",
            "city": "PRICE",
            "state": "UT",
            "postal_code": "845013102",
            "telephone_number": "435-637-4247",
            "fax_number": "435-637-6465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEIL",
        "first_name": "CHRISTOPHER",
        "middle_name": "D.",
        "credential": "SSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-23",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "10135521-6009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Price, UT

Sources for this page

Verify at the official NPI Registry.