Jennifer K Kohl

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

5341276-3501 Issued in UT

Practice address

237 26TH St
Ogden, UT 84401-3105

Phone

(801) 625-3700

Fax

(801) 778-6840

NPI assigned

Sep 18, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Triumph Youth Services, LLC

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Brigham City, UT
  • NPI 1356661110
  NPD (past)

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

{
    "created_epoch": "1379462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1467888792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 26TH ST",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844013105",
            "telephone_number": "801-625-3700",
            "fax_number": "801-778-6840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 26TH ST",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844013105",
            "telephone_number": "801-625-3700",
            "fax_number": "801-778-6840"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "62 S 950 W",
            "address_purpose": "LOCATION",
            "city": "Brigham City",
            "state": "UT",
            "postal_code": "843024424",
            "country_code": "US",
            "telephone_number": "435-538-5063",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "62 S 950 W",
            "address_purpose": "LOCATION",
            "city": "Brigham City",
            "state": "UT",
            "postal_code": "843024424",
            "country_code": "US",
            "telephone_number": "435-538-5063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOHL",
        "first_name": "JENNIFER",
        "middle_name": "K",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-18",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "5341276-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reese Knuteson
• Jennifer Lyn Kocour, D.C.
• Rebecca Koecher
• Julianne Koer, LCSW
• Camille Koga, PTA
• Komplete Nutrition LLC
• Olive Sein Konana, MD
• Mikayla Kondo
• Kevin Koopmans, L.P.C.
• Jason A. Kovacevic, M.D.

• Clinical Social Worker in Ogden, UT
• Providers in Ogden, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.