Individual provider Active NPI

Joyce Arlene Kelen, LCSW

  • Clinical Social Worker
  • Salt Lake City, UT
National Provider Identifier
1609947712
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
119968-3501 Issued in UT
Practice address
925 E 900 S
Suite 26
Salt Lake City, UT 84105-1401
Phone
(801) 537-7523
Fax
(801) 363-9022
NPI assigned
Nov 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 119968-3501 UT Primary

Addresses

Primary practice location

925 E 900 S
Suite 26
Salt Lake City, UT 84105-1401

Mailing address

128 M St
Salt Lake City, UT 84103-3854
Phone (801) 322-3117

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090515000300 UT Practitioner - Clinical Social Worker 7719036011 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

243 E 400
Suite 301
Salt Lake City, UT 84111-2843
Phone (801) 537-7523

265 E 100
Suite 275
Salt Lake City, UT 84111-1649

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
119968-3501UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Joyce a Kelen Counseling & Consulting Inc CurrentSince May 15, 2009 Accepting new patients

Locations

265 E 100 S
Ste 275
Salt Lake City, UT 84111
Phone (801) 484-6149

243 E 400 S
Ste 301
Salt Lake City, UT 84111
Phone (801) 537-7523

925 E 900 S
Ste 26
Salt Lake City, UT 84105
Phone (801) 537-7523

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.

NPI Registry JSON

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

{
    "created_epoch": "1163203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1609947712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 M ST",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841033854",
            "telephone_number": "801-322-3117",
            "fax_number": "801-363-9022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 E 900 S",
            "address_2": "SUITE 26",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841051401",
            "telephone_number": "801-537-7523",
            "fax_number": "801-363-9022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELEN",
        "first_name": "JOYCE",
        "middle_name": "ARLENE",
        "name_prefix": "Dr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-11",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "119968-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.