Individual provider Active NPI

Kenny Hirschi, D.O

  • Psychiatry Physician
  • St George, UT
National Provider Identifier
1548611494
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
OT017118 Issued in PA
Practice address
134 N 200 E Ste 302
St George, UT 84770-2899
Phone
(435) 288-2880
NPI assigned
Jun 22, 2016
Last updated
Jul 7, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X OT017118 PA Primary
Child & Adolescent Psychiatry Physician 2084P0804X 13460506-1204 UT

Addresses

Primary practice location

134 N 200 E Ste 302
St George, UT 84770-2899

Mailing address

134 N 200 E Ste 302
St George, UT 84770-2899
Phone (435) 288-2880

Other practice location 1

202 Cove Forge Rd
Williamsburg, PA 16693-7138
Phone (814) 554-0149

Other practice location 2

64 School St
Millerton, PA 16936-7768
Phone (800) 873-2131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250206002393 UT Practitioner - PsychiatryPractitioner - Addiction Medicine 7416349881 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Addiction Medicine
Education
At Still Un of HLTH Sciences, Col of Osteo Med, Mesa, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Larson and Hirschi Psychiatry PLLCGroup PAC ID 9133657273, 2 clinicians

Practice addresses (Care Compare)

134 N 200
Suite 302
St George, UT 84770-2899
Phone (435) 288-2880

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OT017118PAMDPsychiatry Physician
13460506-1204UTMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Crimson Heights LLC CurrentSince Jul 1, 2025 Accepting new patients
Larson & Hirschi Psychiatry PLLC Psychiatry CurrentSince Jan 30, 2025 Accepting new patients
White Deer Run, Inc PastSince Sep 1, 2021 Accepting new patients
White Deer Run, LLC PastSince Sep 1, 2021 Accepting new patients

Locations

134 N 200 E
Ste 302
St George, UT 84770
Phone (435) 218-2880

348 E 600 S
St George, UT 84770
Phone (435) 251-2888

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1466553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1548611494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 N 200 E STE 302",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847702899",
            "telephone_number": "435-288-2880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 N 200 E STE 302",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847702899",
            "telephone_number": "435-288-2880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "202 Cove Forge Rd",
            "address_purpose": "LOCATION",
            "city": "Williamsburg",
            "state": "PA",
            "postal_code": "166937138",
            "country_code": "US",
            "telephone_number": "814-554-0149",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "64 School St",
            "address_purpose": "LOCATION",
            "city": "Millerton",
            "state": "PA",
            "postal_code": "169367768",
            "country_code": "US",
            "telephone_number": "800-873-2131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HIRSCHI",
        "first_name": "KENNY",
        "credential": "D.O",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-22",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "OT017118",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "UT",
            "license": "13460506-1204",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

Verify at the official NPI Registry.