Evan T Kenison

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

3099283501 Issued in UT

Legal business name

EVAN T KENISON

Doing business as

Sunset Counseling Services

Practice address

50 N Main St
Tooele, UT 84074-2139

Phone

(435) 485-0254

Fax

(435) 843-7438

NPI assigned

Apr 10, 2009

Last updated

Apr 10, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Evan T Kenison, LCSWNPI 1912977505

Title

Mental Health Therapist

Phone

(435) 850-2547

Specialties & licenses 1

Addresses

Other names 1

• Sunset Counseling Services Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Evan T Kenison, LCSW

  • Clinical Social Worker
  • Tooele, UT
  • NPI 1912977505
  NPD Authorized official

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

{
    "created_epoch": "1239321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239321600000",
    "number": "1639312382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840740751",
            "telephone_number": "435-850-2547",
            "fax_number": "435-843-7438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 N MAIN ST",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840742139",
            "telephone_number": "435-485-0254",
            "fax_number": "435-843-7438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVAN T KENISON",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-10",
        "last_updated": "2009-04-10",
        "status": "A",
        "authorized_official_last_name": "KENISON",
        "authorized_official_first_name": "EVAN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "435-850-2547",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "UT",
            "license": "3099283501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunset Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Behavioral Health Agency in Tooele, UT
• Providers in Tooele, UT by specialty
• Community/Behavioral Health Agency in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2009; 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.