Active NPI
Kintsugi Healing
- Clinical Social Worker
- Ogden, UT
National Provider Identifier
1487550539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- KINTSUGI HEALING
- Practice address
- 298 24TH St Ste 345a
Ogden, UT 84401-1431 - Phone
- (801) 917-4656
- NPI assigned
- Oct 15, 2026
- Last updated
- Oct 15, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kira Tadehara, MSW, LCSW
- Title
- Owner/Clinician
- Phone
- (801) 917-4656
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | NU | Primary |
Addresses
Primary practice location
298 24TH St Ste 345a
Ogden, UT 84401-1431
Mailing address
298 24TH St Ste 345a
Ogden, UT 84401-1431
Phone (801) 917-4656
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1792022400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1792022400000",
"number": "1487550539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "298 24TH ST STE 345A",
"city": "OGDEN",
"state": "UT",
"postal_code": "844011431",
"telephone_number": "801-917-4656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "298 24TH ST STE 345A",
"city": "OGDEN",
"state": "UT",
"postal_code": "844011431",
"telephone_number": "801-917-4656"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KINTSUGI HEALING",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-15",
"last_updated": "2026-10-15",
"certification_date": "2026-10-15",
"status": "A",
"authorized_official_last_name": "TADEHARA",
"authorized_official_first_name": "KIRA",
"authorized_official_title_or_position": "OWNER/CLINICIAN",
"authorized_official_telephone_number": "801-917-4656",
"authorized_official_credential": "MSW, LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ogden, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.