Active NPI
Kevin Christopher Cosby, ACMHC
- Mental Health Counselor
- Taylorsville, UT
National Provider Identifier
1457776254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 8768739-6009
- Practice address
- 5667 S Redwood Rd Unit 6B
Taylorsville, UT 84123-5495 - Phone
- (405) 921-2679
- NPI assigned
- Mar 3, 2014
- Reactivated
- May 8, 2024
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 8768739-6009 | UT | Primary |
Addresses
Primary practice location
5667 S Redwood Rd Unit 6B
Taylorsville, UT 84123-5495
Mailing address
5667 S Redwood Rd Unit 6B
Taylorsville, UT 84123-5495
Phone (405) 921-2679
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8768739-6009 | UT | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715126400000",
"number": "1457776254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5667 S REDWOOD RD UNIT 6B",
"city": "TAYLORSVILLE",
"state": "UT",
"postal_code": "841235495",
"telephone_number": "405-921-2679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5667 S REDWOOD RD UNIT 6B",
"city": "TAYLORSVILLE",
"state": "UT",
"postal_code": "841235495",
"telephone_number": "405-921-2679"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COSBY",
"first_name": "KEVIN",
"middle_name": "CHRISTOPHER",
"name_prefix": "Mr.",
"credential": "ACMHC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-03-03",
"last_updated": "2024-05-08",
"deactivation_date": "2017-12-08",
"reactivation_date": "2024-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "UT",
"license": "8768739-6009",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Taylorsville, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 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.