Active NPI
Lynn Keyth Durham
- Addiction (Substance Use Disorder) Counselor
- Tooele, UT
National Provider Identifier
1639478043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 00827-I
- Practice address
- 100 S 1000 W
Tooele, UT 84074-4010 - Phone
- (435) 843-3520
- NPI assigned
- Mar 24, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 00827-I | NV | Primary |
Addresses
Primary practice location
100 S 1000 W
Tooele, UT 84074-4010
Mailing address
100 S 1000 W
Tooele, UT 84074-4010
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00827-I | NV | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363824000000",
"number": "1639478043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 S 1000 W",
"city": "TOOELE",
"state": "UT",
"postal_code": "840744010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 S 1000 W",
"city": "TOOELE",
"state": "UT",
"postal_code": "840744010",
"telephone_number": "435-843-3520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DURHAM",
"first_name": "LYNN",
"middle_name": "KEYTH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-03-24",
"last_updated": "2013-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NV",
"license": "00827-I",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tooele, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.