Active NPI
Simon Kuczinna
- Addiction (Substance Use Disorder) Counselor
- Herriman, UT
National Provider Identifier
1386517274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 14551 Sentinel Ridge Blvd
Herriman, UT 84096 - Phone
- (801) 957-6625
- NPI assigned
- Sep 26, 2025
- Last updated
- Sep 26, 2025
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | UT | Primary |
Addresses
Primary practice location
14551 Sentinel Ridge Blvd
Herriman, UT 84096
Mailing address
3559 S Montclair St
Magna, UT 84044-2474
Phone (385) 216-4046
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1758844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758844800000",
"number": "1386517274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3559 S MONTCLAIR ST",
"city": "MAGNA",
"state": "UT",
"postal_code": "840442474",
"telephone_number": "385-216-4046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14551 SENTINEL RIDGE BLVD",
"city": "HERRIMAN",
"state": "UT",
"postal_code": "84096",
"telephone_number": "801-957-6625"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUCZINNA",
"first_name": "SIMON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-09-26",
"last_updated": "2025-09-26",
"certification_date": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "UT",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Herriman, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.