Active NPI
Carol Rose Kunsman
- Mental Health Counselor
- Murray, UT
National Provider Identifier
1457940959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 11011661-6010
- Practice address
- 164 E 5900 S Ste 101
Murray, UT 84107-7256 - Phone
- (801) 261-5794
- NPI assigned
- Jan 11, 2021
- Last updated
- Jan 11, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC011602 | PA | |
| Mental Health Counselor | 101YM0800X | 11011661-6010 | UT | Primary |
Addresses
Primary practice location
164 E 5900 S Ste 101
Murray, UT 84107-7256
Mailing address
1611 W Wynview LN
South Jordan, UT 84095-8481
Phone (610) 216-0703
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 |
|---|---|---|---|
| 11011661-6010 | UT | MD | Mental Health Counselor |
| PC011602 | PA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alpha Counseling and Treatment, Inc | Mental Health | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Counselor
- Ogden, UT
- NPI 1174965891
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610323200000",
"number": "1457940959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1611 W WYNVIEW LN",
"city": "SOUTH JORDAN",
"state": "UT",
"postal_code": "840958481",
"telephone_number": "610-216-0703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "164 E 5900 S STE 101",
"city": "MURRAY",
"state": "UT",
"postal_code": "841077256",
"telephone_number": "801-261-5794"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUNSMAN",
"first_name": "CAROL",
"middle_name": "ROSE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-11",
"last_updated": "2021-01-11",
"certification_date": "2021-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC011602",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "UT",
"license": "11011661-6010",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Murray, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.