Individual provider Active NPI

Chad Calkins, LCSW

  • Mental Health Counselor
  • Ogden, UT
National Provider Identifier
1629376496
Registry record updated Aug 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
367894-3501 Issued in UT
Practice address
502 E 22ND St
Ogden, UT 84401
Phone
(385) 299-8481
NPI assigned
Mar 3, 2011
Last updated
Aug 16, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 367894-3501 UT Primary
Clinical Social Worker 1041C0700X NU

Addresses

Primary practice location

502 E 22ND St
Ogden, UT 84401

Mailing address

502 E 22ND St
Ogden, UT 84401-1519
Phone (385) 299-8481

Other practice location 1

4460 S Highland Dr
230
Salt Lake City, UT 84124-3543
Phone (888) 949-4864

Other identifiers 1

IdentifierTypeStateIssuer
82-5159778OtherIRS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
367894-3501UTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Mental Health Current Accepting new patients
Family Counseling Services Current Accepting new patients
Symbiosis Counseling Current Accepting new patients
Family Counseling Service of Northern Utah Inc Mental Health Current Accepting new patients

Locations

3518 Washington Blvd
Ogden, UT 84403
Phone (801) 399-1600

Interoperability endpoints

  • Direct secure messaging: chadcalkins@tdh.allscriptsdirect.net

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": "1299110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565913600000",
    "number": "1629376496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 E 22ND ST",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844011519",
            "telephone_number": "385-299-8481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 E 22ND ST",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "84401",
            "telephone_number": "385-299-8481"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4460 S Highland Dr",
            "address_2": "230",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841243543",
            "country_code": "US",
            "telephone_number": "888-949-4864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALKINS",
        "first_name": "CHAD",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-03",
        "last_updated": "2019-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "367894-3501",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IRS",
            "identifier": "82-5159778",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

Verify at the official NPI Registry.