Active NPI
Kajay Ann Niebrugge, CSW
- Clinical Social Worker
- Salt Lake City, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 13742551-3501
- Practice address
- 888 S 400 W
Salt Lake City, UT 84101-4800 - Phone
- (801) 834-8265
- NPI assigned
- Dec 20, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 13742551-3501 | UT | Primary |
Addresses
Primary practice location
888 S 400 W
Salt Lake City, UT 84101-4800
Mailing address
6293 S 1575 E
Ogden, UT 84405-5201
Phone (801) 791-5049
Other practice location 1
5965 S 900 E Ste 100
Murray, UT 84121-1850
Phone (801) 639-9146
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8760003008007 | Medicaid | UT | |
| 000055266 | Other | UT | MEDICARE PIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4800 N Scottsdale Rd
Suite 2500
Scottsdale, AZ 85251-7630
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ascendant Behavioral Health LLC | Clinical | Current | Accepting new patients |
Locations
4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392
3051 W Maple Loop Dr
Ste 210
Lehi, UT 84048
Phone (801) 502-3913
5965 S 900 E
Ste 100
Murray, UT 84121
Phone (801) 639-9146
801 N 500 W
Ste 101
West Bountiful, UT 84010
Phone (770) 634-4603
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 and National Provider Directory roles.
-
dba Ascendant Behavioral Health DBA LifeStance
- Clinical Social Worker
- Murray, UT
- NPI 1689128605
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755820800000",
"number": "1518627447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6293 S 1575 E",
"city": "OGDEN",
"state": "UT",
"postal_code": "844055201",
"telephone_number": "801-791-5049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "888 S 400 W",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841014800",
"telephone_number": "801-834-8265"
}
],
"practiceLocations": [
{
"address_1": "5965 S 900 E Ste 100",
"address_purpose": "LOCATION",
"city": "Murray",
"state": "UT",
"postal_code": "841211850",
"country_code": "US",
"telephone_number": "801-639-9146",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NIEBRUGGE",
"first_name": "KAJAY",
"middle_name": "ANN",
"credential": "CSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-12-20",
"last_updated": "2025-08-22",
"certification_date": "2025-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "UT",
"license": "13742551-3501",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8760003008007",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PIN",
"identifier": "000055266",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.