Kipling S Rasmussen, PHD

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

3808413902 Issued in UT

Practice address

1790 N State Street
Orem, UT 84057-2025

Phone

(801) 224-8255

Fax

(801) 224-8301

NPI assigned

Nov 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Mar 12, 2024 through Mar 12, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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 and National Provider Directory roles.

• Complete Evaluations LLC

  • Psychologist
  • Payson, UT
  • NPI 1962994590
  NPD (past)
• Utah Valley Psychology Counseling and Coaching

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Orem, UT
  • NPI 1497462840
  NPD (past)

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467526467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1790 N STATE STREET",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840572025",
            "telephone_number": "801-224-8255",
            "fax_number": "801-224-8301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1790 N STATE STREET",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840572025",
            "telephone_number": "801-224-8255",
            "fax_number": "801-224-8301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASMUSSEN",
        "first_name": "KIPLING",
        "middle_name": "S",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "UT",
            "license": "3808413902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rapid Knee Rehab, LLC
• Blake Rapier, PA-C
• Travis Rapier, PA-C
• Reva J. Rasband, FNP
• Darin Rasmussen, LCSW
• Kylee Ann Rasmussen
• Mary Rasmussen
• McKensie Anna Rasmussen
• Olivia Rasmussen
• Samuel Rasmussen

• Marriage & Family Therapist in Orem, UT
• Providers in Orem, UT by specialty
• Marriage & Family Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.