Kevin Kyle White, CMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

10086515-6004 Issued in UT

Practice address

6000 S 1075 E
South Ogden, UT 84405-4945

Phone

(801) 479-7035

Fax

(801) 479-9268

NPI assigned

Feb 19, 2020

Last updated

Feb 19, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Brighton Recovery Center LLC

  • Substance Abuse Rehabilitation Facility
  • South Ogden, UT
  • NPI 1245613009
  NPD (past)

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

{
    "created_epoch": "1582070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582070400000",
    "number": "1598398380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2337 CUSTER AVE",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844011929",
            "telephone_number": "385-288-9794",
            "fax_number": "801-479-9268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 S 1075 E",
            "city": "SOUTH OGDEN",
            "state": "UT",
            "postal_code": "844054945",
            "telephone_number": "801-479-7035",
            "fax_number": "801-479-9268"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3544 Lincoln Ave Ste 2E",
            "address_purpose": "LOCATION",
            "city": "Ogden",
            "state": "UT",
            "postal_code": "844014015",
            "country_code": "US",
            "telephone_number": "801-781-5733",
            "fax_number": "801-781-5733",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "KEVIN",
        "middle_name": "KYLE",
        "name_prefix": "Mr.",
        "credential": "CMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-19",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "10086515-6004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wellnest Medical PC
• Hannah Westmoreland, RBT
• Stephen Mark Wheeler, DC
• Timothy J Whitaker, D.P.T.
• Jaydon Whitcomb, RBT
• Roy White, RPH
• Miriam Whitear, RBT
• Nickolas Whitesides
• Charlene Wichman
• Korryn Wiese, P.T., C.M.P.T.

• Mental Health Counselor in South Ogden, UT
• Providers in South Ogden, UT by specialty
• Mental Health Counselor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; 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.