Martha a. Keil LCSW PC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

94-141675-3501 Issued in UT

Legal business name

MARTHA A. KEIL LCSW PC

Practice address

1470 N Main St Ste B
Bountiful, UT 84010-5996

Phone

(801) 298-5008

Fax

(801) 547-0440

NPI assigned

Mar 13, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Martha A Keil, LCSW

Title

President

Phone

(801) 298-5008

Specialties & licenses 3

Addresses

Other names 1

• Marti A Keil LCSW PC Doing business as

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marti Ann Keil, L.C.S.W.

  • Mental Health Counselor
  • Bountiful, UT
  • NPI 1811167273
  Medicare reassignment NPD
• Jerry Lynn Sandberg, PH.D.

  • Counseling Psychologist
  • Bountiful, UT
  • NPI 1154400216
  NPD (past)

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1306979802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "591 N 125 E",
            "city": "KAYSVILLE",
            "state": "UT",
            "postal_code": "840371403",
            "telephone_number": "801-547-0440",
            "fax_number": "801-547-0440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1470 N MAIN ST STE B",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840105996",
            "telephone_number": "801-298-5008",
            "fax_number": "801-547-0440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTHA A. KEIL LCSW PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "KEIL",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-298-5008",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "UT",
            "license": "94-141675-3501",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "94-141675-3501",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "UT",
            "license": "94-141675-3501",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marti A Keil LCSW PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brianda Marin
• Mark H. Blaisdell DDS, PC
• Marlin M Forsyth
• Khilali Marquez
• Christiana Loukia Martakou
• Kristin Kay Martin
• Christopher Chad Martineau, PAC
• Amya Martinez -Pearson
• Brinley Ruth Martinez
• Carissa Renee Martinez

• Counselor in Bountiful, UT
• Providers in Bountiful, UT by specialty
• Counselor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.