Chantal Koa, SSW, CASUDC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

10591268-6018 Issued in UT

Practice address

195 W 820 S Unit 2
Cedar City, UT 84720-3963

Phone

(435) 673-2899

Fax

(435) 359-5159

NPI assigned

Apr 8, 2022

Last updated

Apr 8, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• High Desert Counseling LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • St George, UT
  • NPI 1346765682
  NPD (past)

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

{
    "created_epoch": "1649376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1326780511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1131",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847211101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 W 820 S UNIT 2",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847203963",
            "telephone_number": "435-673-2899",
            "fax_number": "435-359-5159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOA",
        "first_name": "CHANTAL",
        "credential": "SSW, CASUDC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-08",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "UT",
            "license": "10591268-6018",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "UT",
            "license": "10591268-3503",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER",
            "identifier": "00000",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.HighDesert.help",
            "affiliation": "N",
            "address_1": "561 E Tabernacle St",
            "city": "St George",
            "state": "UT",
            "country_code": "US",
            "postal_code": "847702944",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shawn F Kinross, CRNA
• Heather Kirchmeier, R.N.
• Kevin Scott Kirschenmann, LCSW
• Daralee Kjar, NP-C
• Tyce Hill Knudsen
• Spencer Kohler, ACMHC
• Ellie Kotter
• Alissa Danette Kovar
• Tanner Koyle
• Hayley Kramer

• Addiction (Substance Use Disorder) Counselor in Cedar City, UT
• Providers in Cedar City, UT by specialty
• Addiction (Substance Use Disorder) Counselor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; 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.