Active NPI
Brian Lee Kingdon, APC
- Professional Counselor
- West Valley, UT
National Provider Identifier
1548557614
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Feb 20, 2024.
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 8029405-6009
- Practice address
- 3453 Meadow Breeze Way
West Valley, UT 84128-7801 - Phone
- (801) 243-3146
- NPI assigned
- Jul 8, 2011
- Last updated
- Jul 8, 2011
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 8029405-6009 | UT | Primary |
Addresses
Primary practice location
3453 Meadow Breeze Way
West Valley, UT 84128-7801
Mailing address
3453 Meadow Breeze Way
West Valley, UT 84128-7801
Phone (801) 243-3146
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8029405-6009 | UT | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310083200000",
"number": "1548557614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3453 MEADOW BREEZE WAY",
"city": "WEST VALLEY",
"state": "UT",
"postal_code": "841287801",
"telephone_number": "801-243-3146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3453 MEADOW BREEZE WAY",
"city": "WEST VALLEY",
"state": "UT",
"postal_code": "841287801",
"telephone_number": "801-243-3146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINGDON",
"first_name": "BRIAN",
"middle_name": "LEE",
"credential": "APC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-07-08",
"last_updated": "2011-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "UT",
"license": "8029405-6009",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Valley, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.